Deposit Form and Shirt Sizes
Please complete the form below for all campers and sponsors. This is a two page form. 

Checks are to be made out to Mountain Top Baptist Assembly (MTBA)

and mailed to

Ed Tharp, Summit Director

1930 Boyd Avenue

Casper, WY 82604

This year, we also have the option to pay your deposit and camp fees electronically (fees apply).

If you would like to do this option, please text or call Jackie at 307-267-6327.

**Deposits are non-refundable but can be transferred to another student or sponsor if someone drops out and someone else joins.

***ALL SHIRT SIZES ARE ADULT SIZES. Please make sure to have all sponsors/campers shirt sizes before beginning this form.  


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Summit Week planning to attend: *
Church Name *
Contact Person *
Contact Person Phone Number *
Number of Boy Campers ($50 deposit per camper required) *
Number of Boy Sponsors ($50 deposit per sponsor required) *
Number of Girl Campers ($50 deposit per camper required) *
Number of Girl Sponsors ($50 deposit per sponsor required) *

Each Wyoming SB church is allowed ONE MTBA credit of $50 to help with the camp fees for one of their full-time/bi-vocational paid church staff members or pastor’s wife who is coming to camp as a sponsor.  

If you are taking advantage of this MTBA credit, list their name and position here:


Reminder for Total Amount Owed:

$50 x Total number of Campers=
$50 x Total number of Sponsors=

Add total for each equation together and write the total below. 

**Remember to subtract $50 off of total amount IF you are taking advantage of the MTBA credit above. 
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