LABRADOR MORAVIAN YOUTH CAMP
Hopedale, NL
August 13-17th, 2012
Youth ages 12-15 years
This year's camp includes: bible study, crafts, drama, photography, a fishing trip, and an aboriginal day. Discover God's Word in the midst of God's creation.
Cost: $75.00 Reduced air travel may be available upon requested.
Contact: Sarah Jensen 709-933-3687 or the Rev. Glenna Tasedan 828-339-6970
Registration deadline is July 22nd. Download/print the registration form here.
Registration for Summer Camp August 13-17, 2012
Offered by the Moravian Church in Newfoundland
and Labrador at Little Bay, near Hopedale
Head counsellors:
Sarah Jensen and Rev. Glenna Tasedan
Name: ___________________________________
□ Boy □ Girl
Date of birth:
____________________
School grade (as of June 23) ________________________
Contact details of parent/guardian in case of
emergency:
Name:_________________________________
Telephone: ____________________________
Address: ______________________________
Email
address: __________________________
Home congregation: □ Hopedale □Happy Valley □ Makkovik □Nain
Food allergies: ___________________________________________
Current medication: _______________________________________
_______________________________________________________
Medical Condition(s): _____________________________________
________________________________________________________
MCP number:
______________________
Any other information: ______________________________________
__________________________________________________________
Name of parent / guardian (please print) ________________________
Signature of Parent / Guardian
_____________________________ Signature of chapel servant _______________________________
Please return this form
with payment of $75.00 to "Labrador Moravian Youth Camp", c/o Sarah Jensen, Hopedale, NL
Deadline for registration is July 22nd.
