VA Man Camp Registration

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After you complete this online registration form you will need to make a payment for the Camp Fee.

You can submit an online payment by going to www.vanaz.org/mancamp
or you can make a check payable to VA SDMI and mail it David Kessell at
Winchester First, 181 Nazarene Drive, Winchester VA, 22601.

Please contact the District Resource Center if you have any problem submitting a payment by calling 804-739-4884, Monday-Thursday 9-4pm, or Friday 9-12pm or send an email to admin@vanaz.org.

Name: *

Email: *

Address *

City, State, Zip *

Church: *

Pastor: *

Church's Men's Ministry Director:

T-shirt Size *

2XL

3XL

4XL

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