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Elim Fellowship Conference and Retreat Registration Form

Names:

Full Mailing Address:

Email Address:

Province:

Number Attending:

Children Attending (Child Age 3-12):

Children Attending (Teen Age 13-17):

Type of Accommodation requested (if available):

Special Requests i.e. food allergies, request to stay with another couple or as a group (private bedroom but shared sitting area and kitchen) etc.:

If you wish to pay by Paypal, click the submit button and your form will be emailed to our office.

If you wish to pay by cheque, select the "Print this page" button to print this form and send it with your cheque (payable to Elim Fellowship Canada) to our office.

Click the "Camp Registration Statement" to determine your cost and send it along with this Registration Form and your cheque.