CAMP LINN HAVEN                  

Camp Linn Haven, Linville, North Carolina

CAMPER FORM

RESERVATION FORM SUMMER 2010

 

Mail to: 

Camp Linn Haven

PO Box 1096

Conover, NC 28613

MAIL WITH REGISTRATION FEE OF $10.00 PER PERSON

NO REFUND ON DEPOSIT AFTER JUNE 1

 

Name_________________________________________________________

 

Address_______________________________________________________

 

Phone_________________________________________________________

 

Registration is made for weeks of (circle one) 

 

MIDDLE SCHOOL              PRE-TEEN                FAMILY        LWML RETREAT                LLL RETREAT

 

Camp week beginning_________________________ending________________________________

 

PRE-TEEN information:  Male___  Female_____  Age____Emergency Phone_____________________

 

Parent’s Name_______________________________ Child’s Birthdate______________________

 

I hereby grant permission for my child, _______________________________________________, to participate in all activities sponsored by Camp Linn Haven and the Lutheran Woman’s Missionary League during the week my child attends camp.

 

 

____________________________________________

Parent/Guardian Signature

 

CHURCH THAT YOUR CHILD ATTENDS:_____________________________________________

 

 

Detach and mail registration form with deposit to the address above.  Registrations will be made on a first –come first-serve basis.  You will be notified if you request CANNOT be honored.  NO confirmations or reservations will be made unless requested and a self-addressed, stamped envelope accompanies registration form. 

 

 

Field Trip Parental Permission_______________________________________________________

 

 

To print the below form, copy and paste in a word processor and then print.