Registration | Camp Evangeline | Ministry & Retreat Centre

Name*

First Last

Your spouse's name

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Note change of address

Home Phone*

Mobile Phone

Email Address*

Enter Email Confirm Email

How many do you expect in your party?

Please enter a value between 1 and 1000.

Registration for

Check-in Date*

Check-out Date*

Please select preferred cabin type: (if known)

What number do you prefer?

Please enter a value between 0 and 2000.

What type of trailer do you own?

Would you prefer sewer, if available?

Site Number

Please enter a value between 0 and 2000.

Did you occupy the above accommodation the previous year?

Additional Comments:

CAPTCHA

Comments

This field is for validation purposes and should be left unchanged.

Registration 2019