Fall Creek Christian Campground

Application

Camp Application
Name:	* required
Date of Birth: Sex:	* required Boy Girl
Address:	* required
City:	* required
State:	* required
Zip:	* required
Phone:
Email address:
Parents:
Home Church:
C	Have you attended camp at FCCC before? Yes No FCCC Check desired camp: Spring Youth Retreat (ages 7-17) - $15 Family Days (all ages) - $3 Teen Camp (ages 13-19) - $75 Youth Camp (ages 7-17) - $75 Backpacking Camp (ages 7-up) - $1
TO BE FILLED OUT BY RESPONSIBLE ADULT
Are there any health problelms that require special attention?	* required
If answer is yes, please give full explanation:	Health problem explanation
Emergency Contact Numbers:	List numbers and names
Responsible person and date:

Please enter payment of $75.00 per camper.  You may pay with your debit card, with your credit card, or through PayPal.

Application Deadline: Seven (7) days before the check-in date.

Darvin Oakes, Executive Director                  865-671-1717