Registrant Information:
First Name:
Last Name:
Preferred Badge Name:

E-Mail:

Street Address:
City:
State:
Zip/ Postal Code:
Home Phone: Cell Phone:
Proper format (xxx)xxx-xxxx

Church (Church & City) :

Registration Category: (choose one)

Clergy (CR) Deputy Alternate General Registrant

Do you have a specific roommate request?
If yes, please include name and parish

Full Weekend Registration Rates: (choose one)
Select one radio button that corresponds with the day(s) and enter the amount
that corresponds with correct fee category at the bottom of the page.

Total: Please do not enter a dollar sign
(If you would like to add a donation to your registration fees, you may add the dollar amount here and make a notation in the comments. Otherwise, use the link at the top of the page. Thank you.)

I would like to Volunteer at Convention:
Pre-Convention Preparation, Vacation Bible School, Usher, Greeter, Child Care
Write your top two choices on this line:

Child Needs:
We will be bringing a child under 5 with us and will need a cot and/or child care.

Additional Information:
Do you have any physical limitations/considerations? Please explain here:
If you have any dietary concerns, please notify Camp of the Woods kitchen staff upon arrival

Credit Cards: We accept most major credit cards.
Hit the SUBMIT button to enter your credit card information

Before hitting submit, please print for your records.