Summer Camp Registration Form

Name:

E-mail:

Date:

Name of Camp Session:

Camp Dates:

Camper's Full Name:

*Camper's Street Address:

City, State, Zip

Camper's Phone Number

School Grade Camper will enter in September:

Church Name/City

Is Camper Baptized?

Yes No

Father's Name:

Father's Business Phone Number:

Mother's Name:

Mother's Business Phone Number:

* Custodial Parent:

* Custodial Parent's Address:

* Custodial Parent's Phone:

Number of Children From Same Family Attending Camp Wingmann this Summer:

T-Shirt Size:

Adult Child S M L XL XXL

Method of Payment:

Check Money Order

BE SURE YOUR APPLICATION IS COMPLETE. INCOMPLETE APPLICATIONS WILL BE RETURNED WITH NO GUARANTEE OF SPACE. A nonrefundable deposit of $75 is required to be mailed to us within a week of sending this email in order for this registration to be official. PLEASE PUT CAMPER'S NAME AND SESSION ON CHECKS.

Make checks payable to Camp Wingmann.
Send checks to Camp Wingmann Registrar, 3404 Wingmann Rd., Avon Park, FL 33825

Upon receipt of registration form and nonrefundable deposit, you will be sent a health form to be mailed in or brought to the beginning of the camp session. An information sheet outlining what each camper should bring will also be sent to you including drop off/pick up times. The balance of $220 is due upon arrival at camp.

* Please indicate where health form, information sheet and other materials regarding camp should be mailed.

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For more information:
Camp Wingmann, Inc.
3404 Wingmann Rd.
Avon Park, FL 33825 US
Email: wingmann@strato.net
863-453-4800
866-526-3380
Fax: 863-453-4449

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