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Friends and Family Church Camp Everyone is invited to attend Westminster’s all church
camp at N-Sid-Sen. Please help us to coordinate this event by registering early .Please note, Seniors are 62+, Youth is 8-12, and Children 3-7. There are some additional options for meal/room packages, but must be at least one night and three meals. Please call Pastor Marj if you have questions, or need to make alternate arrangements. DEADLINE FOR REGISTRATION AND PAYMENT IS SUNDAY, AUGUST 30. Registration form - 2009 Westminster Family Camp
September 11-13 __________________________________________________________________ __________________________________________________________________ Address ____________________ City __________________ State______ ZIP______ Phone # ____________________ Other Phone # _________________________ □ I have food allergies/restrictions ______________________□ I need ground floor or other __________________ accommodations for disabilityCosts: please mark number attending in the box in the appropriate column Adult-Senior-Youth-Child- Under 3 1 night/4 meals 47.50 44.75 42.50 35.00 free (lunch on Saturday through lunch on Sunday)Sun. lunch only 7.50 7.00 6.75 6.00 free Other combination? Indicate preference here, and call for pricing: Liability Release 2009 Westminster Family Camp September 11-13 As a participant in the 2009 Westminster Family Camp at N-Sid-Sen, I hereby release and discharge the Westminster Church, The Pacific Northwest Conference of the UCC, Camp N-Sid-Sen, and any agents, directors, and volunteers who participate in or conduct activities, from all claims, demands or actions which I or my heirs, executors, administrators or assigns may have for all personal injuries, known or unknown, to me or my minor children, and injuries to property, real or personal, caused by or arising directly or indirectly out of any activities conducted by Westminster Church during Family Camp during the period of September 11-13, 2009. Name (s): ___________________________________ Date: _________________ Signature(s): _____________________________________________________________
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