T-Shirt size_______ Camp Friendship Registration Form Date:_____________

First Name: _________________________ Last Name:______________________________ Middle initial: ___

Address: ____________________________________________________________________________________

City: _______________________________________ State: ____________ Zip Code: __________________

Phone: (________)____________________________ Cell/Secondary Phone: (______)____________________

Current Grade Level: _______________ Gender: _________ Birthdate: ____/_______/________

Parent/Guardian Name: __________________________________ Phone: (______)____________________

Secondary Contact Name: __________________________________ Phone: (______)____________________

Youth Participant Cost $50 due with registration form (if needed, financial assistance is available)

Please Check All that Apply:

q Youth Participant (grade 4-7)    q Adult Participant         qYouth Counselor (grade 8+)

q Trinity Member                 q Willing to Drive                
                                                        # of passengers ______

q Non-Trinity Member (if not, list church affiliation)

________________________________

(send payment, above form and Medical/Release form to Trinity Lutheran Church by 05/09/08)
(detach here & keep bottom for camping information)