POWER LAB DAY CAMP
2008 Registration Form

Return this form to: ST. JOHN'S YOUTH GROUP, 99 CHURCH STREET, HAMBURG, PA 19526

__________________________________________
CAMPER'S NAME
_________________________________________________________________________________________
CAMPER'S ADDRESS
________________                  ___________________
AGE                                          GRADE COMPLETED
______________________________________                 ________________
PHONE #                                                                             T-SHIRT SIZE
____________________________________________
PARENT/GUARDIAN NAME

COST PER CAMPER IS $47.00        PAYMENT METHOD    ___CHECK   ___CASH
(PLEASE MAKE CHECKS PAYABLE TO "ST. JOHN'S EV. LUTHERAN CHURCH")
A PACKET WILL BE SENT TO YOU AT THE ABOVE ADDRESS.