Winter Camp 
Please Join us for a weekend of fun and fellowship!
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1557 Heart Lake Road Scott Township, PA 18433
First Name,  Last Name, and Age of Child/Children  *
Parent's Email
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Home Address 
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Emergency Contact Name & Number *
My Child is Attending:  *
Dietary restrictions *
Allergies & Medications Per Child *
I understand that EACH INDIVIDUAL RETREAT cost is $125.00. Alumni get a discount of $60.00
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Required
My child is an Angel Tree Recipient & My Responsibility is $25.00*

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