(Note: Families should list additional members' names, ages, etc. at bottom.)

MAIL TO:  OZARK CHRISTIAN CAMP  -   P.O. BOX 3425 -   FAYETTEVILLE, AR  72702-3425

PLEASE PRINT CLEARLY

1.            Name____________________________________________________________

2.            Address__________________________________________________________

               City/State/Zip______________________________________________________

3.         Home Phone Number: (_____)____________________________________

4.         AGE __________ Date of birth ____________Sex____T-shirt Size_______

5.         Have you ever attended a youth or family camp before ________ yes ________ no

6.         Church preference__________________________________________________

7.         The cost of camp is:            Individual - $125.00            Family of 3 or more - $275.00

            The fee is enclosed.            ______ yes   ______ no

(CHECKS MUST BE RECEIVED IN THE FAYETTEVILLE OFFICE BY June 1st)

8. ADULTS ONLY.  Would you be a counselor?      ______ yes      ______ no

9. If you do not plan to attend all week, please indicate when you will arrive and when you will have to leave. 

            ___________________________ through _______________________________

10. Please indicate whether you will need a home to stay in Sunday night:

 Reserve a home for Sunday night______.   We will have our own motel Sunday night___                                                                                                                                           

                                                                            ____________________________   

                                                                                    (signature of applicant)

(Attention Day Campers:  If you are not spending the night at camp and want to eat meals in the cafeteria, the cost of meals is $5 per meal. Please write Day Camper on this form, indicate how many meals you plan to eat with us and enclose a check to cover those meals.)

  Additional Family Members Attending Camp

(Please print clearly.  Continue list on back if more room is needed.

T-shirt sizes – Adult: S, M, L, XL, XXL, XXL;  Child: XS, S, M, L)

Name                                       Age            Date of Birth                Sex            T-shirt Size