Ice Camp Youth Group Registration | Miracle Camp and Retreat Center | Michigan Church Retreats and Christian Summer Camps

Submitted by Miracle Camp on Tue, 2010-08-24 16:09

Fill out this form to register your group for Ice Camp this year! One of our staff will follow up with you to confirm your registration. A 10% deposit will be required at that time. If you have any questions, please contact us at (269) 624-6161.

Name of Group or Church: *

Contact Person/Youth Pastor: *

Address: *

City: *

State: *

Zip: *

Cell Phone: *

Alt Phone:

Email: *

Number of Guy Students: *

Please enter the number of youth you plan on bringing.

Number of Girl Students: *

Please enter the number of youth you plan on bringing.

Number of Male Leaders: *

Please enter the number of sponsors you plan on bringing (1 leader free for every 6 students)

Number of Female Leaders: *

Please enter the number of sponsors you plan on bringing (1 leader free for every 6 students)

Retreat Weekend: *

Junior High 1 - January 13-15

Junior High 2 - January 20-22

Senior High 1 - January 27-29

Senior High 2 - February 3-5

Senior High 3 - February 10-12

Senior High 4 - February 17-19

Junior High 3 - February 24-26

Please select the retreat weekend you would like to bring your students to. If you are attending multiple weekends with different age groups you will need to fill this form out a second time.