Your Name*

Email*

Address*

Zipcode*

Home Phone*

Work Phone

*I understand that the Crystal Lake Camps Reunion Weekend is open to CLC Alums and members of their families who agree to abstain from the use of any alcoholic beverages, tobacco products or illegal drugs while at camp.

Arrival Date and Approximate Time

Departure Date and Approximate Time

I/we need to be picked up at an airport or bus station.

Accommodations

Description	Cost	Cost (16 or under)
A: Entire weekend in your own tent or RV on site at CLC	$75/person	$50/person
B: Entire weekend in a cabin	$150/person	$75/person

 

	Name	Relation	Age	C.S.	Accommodations (see above)
		Self	16 or under? DOB if under 18	Choose One Church Member Attends Church Attends Sunday School Not a Christian Scientist	Choose One Tent RV Cabin   $

TOTAL:	$

Special accommodation or diet requests: