2015 Church Pre-Registration Form Boiling Springs Christian Service Camp Date Church Information Contact person Phone Number Church Street address City State 1st and 2nd Grade Camp Male Staff Female Staff Boys Girls Total Campers @ $35 3rd and 4th Grade Camp Male Staff Female Staff Boys Girls Total Campers @ $75 Zip code 5th and 6th Grade Camp Male Staff Female Staff Girls Boys Total Campers @ $100 7th through 9th Grade Camp Male Staff Female Staff Boys Girls Total Campers @ $125 10th through 12th Grade Camp Male Staff Female Staff Boys Girls Total Campers @ $135 Total Amount Number of 2X and 3X shirts ordered @ $5 ea Amount Enclosed Method of Payment Check Check Number Online To pre-register send ONE CHURCH CHECK for the above amount to: Boiling Springs Christian Service Camp P.O. Box 884 Woodward, OK 73801 or to pay online, go to www.boilingspringscamp.net and select pay online. If you pay online, send the completed form and the e-mail confirming you've paid to [email protected]. Registrations received after May 18 will need to add $15 per camper. 2015 Form For Ordering Shirts Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult X-Large Adult 2X $5.00 extra Adult 3X $5.00 extra Total Number of Shirts Ordered Person Submitting Order