October 2015 Region 3 Camping Network Gathering

Please fill out the following REGISTRATION FORM or contact Paul Hanson at paulh@luthercrest.org OR 320-846-2431 FOR MORE INFORMATION.

Online Registration Form
Region 3 Camping Network Gathering
Monday - Wednesday, October 5-7, 2015
Luther Crest Bible Camp

Special Requests/Dietary Needs/Allergies *

Please list each person who will be attending the Region 3 Gathering from your Camp/Organization separately below:
If you are bringing more than 8 people from your camp/organization, please email Paul Hanson with the list, including Name, Title/Position, Email, Gender, Roommate Requests.

Participant #1 Name *

Title or Position *

Gender *

Male Female

Roommate Request(s) *

Participant #2 Name *

Title or Position *

Gender *

Male Female

Roommate Request(s) *

Participant #3 Name *

Title or Position *

Gender *

Male Female

Roommate Request(s) *

Participant #4 Name *

Title or Position *

Gender *

Male Female

Roommate Request(s) *

Participant #5 Name *

Title or Position *

Gender *

Male Female

Roommate Request(s) *

Participant #6 Name *

Title or Position *

Gender *

Male Female

Roommate Request(s) *

Participant #7 Name *

Title or Position *

Gender *

Male Female

Roommate Request(s) *

Participant #8 Name *

Title or Position *

Gender *

Male Female

Roommate Request(s) *

Payment Information

Costs for Event: $75.00/person (1-4 participants from your organization)
$50/person (5 or more participants from your organization)
$100/person (if registering after Friday, September 25)

Numbers of Participants *

Select One Based on # of Participants *

X $75.00/person X $50.00/person X $100/person (after Sept. 25)

Credit Card Information (required to complete registration online)

Name on the Credit Card *

Credit Card Billing Zip Code *

Type of Card *

VISA MASTERCARD DISCOVER AMERICAN EXPRESS

Credit Card Number *

Expiration Date *

Security Code (on back of card) *

IF YOU ARE UNABLE TO PAY WITH A CREDIT CARD, PLEASE CALL 320-846-2431 OR EMAIL PAUL HANSON AT paulh@luthercrest.org OR SEND A CHECK TO: LUTHER CREST BIBLE CAMP, 8231 COUNTY ROAD 11 NE, ALEXANDRIA, MN 56308

Additional information we should know about. *

Region 3 Camping Network Gathering

Monday-Wednesday, October 5-7, 2015
Hosted at Luther Crest Bible Camp
Cost: $75/person (if registering 1-4 people);
$50/person (if registering 5 or more from one camp)
$100/person (if registering after Friday, September 25)]

Online Registration Form
Region 3 Camping Network Gathering
Monday - Wednesday, October 5-7, 2015
Luther Crest Bible Camp

Please list each person who will be attending the Region 3 Gathering from your Camp/Organization separately below:
If you are bringing more than 8 people from your camp/organization, please email Paul Hanson with the list, including Name, Title/Position, Email, Gender, Roommate Requests.

Payment Information

Costs for Event: $75.00/person (1-4 participants from your organization)
$50/person (5 or more participants from your organization)
$100/person (if registering after Friday, September 25)

Credit Card Information (required to complete registration online)

Region 3 Camping Network GatheringMonday-Wednesday, October 5-7, 2015Hosted at Luther Crest Bible CampCost: $75/person (if registering 1-4 people);$50/person (if registering 5 or more from one camp)$100/person (if registering after Friday, September 25)]

Online Registration Form Region 3 Camping Network GatheringMonday - Wednesday, October 5-7, 2015Luther Crest Bible Camp﻿

﻿Please list each person who will be attending the Region 3 Gathering from your Camp/Organization separately below:If you are bringing more than 8 people from your camp/organization, please email Paul Hanson with the list, including Name, Title/Position, Email, Gender, Roommate Requests.

Payment InformationCosts for Event: $75.00/person (1-4 participants from your organization)$50/person (5 or more participants from your organization) $100/person (if registering after Friday, September 25)

﻿Credit Card Information (required to complete registration online)﻿

Region 3 Camping Network Gathering

Monday-Wednesday, October 5-7, 2015
Hosted at Luther Crest Bible Camp
Cost: $75/person (if registering 1-4 people);
$50/person (if registering 5 or more from one camp)
$100/person (if registering after Friday, September 25)]

Online Registration Form
Region 3 Camping Network Gathering
Monday - Wednesday, October 5-7, 2015
Luther Crest Bible Camp

Please list each person who will be attending the Region 3 Gathering from your Camp/Organization separately below:
If you are bringing more than 8 people from your camp/organization, please email Paul Hanson with the list, including Name, Title/Position, Email, Gender, Roommate Requests.

Payment Information

Costs for Event: $75.00/person (1-4 participants from your organization)
$50/person (5 or more participants from your organization)
$100/person (if registering after Friday, September 25)

Credit Card Information (required to complete registration online)