This form must be completed and submitted along with your security deposit and insurance policy prior to receiving confirmation of your stay.

Ministry or Group Name

Group Type

Phone Number

Street Address

City

State

Zip Code

Name of Group Leader(s)

Phone Number

Cell Phone Number

Email Address

Desired Day & Time of Arrival

Expected Day & Time of Departure

Total Number In Your Group (Estimate if unsure)

Insurance Policy

How did you hear about Mountain Fellowship Camp?

As the group leader, I have read the “Conditions of Use” and our group agrees to abide by those conditions during our stay at Mountain Fellowship Camp. Furthermore, we hereby release and discharge Mountain Fellowship Camp, its officers, directors, employees, agents, and/or volunteers from any claims of action, costs, obligation, or financial responsibility resulting from or arising out of any incident, injury, or accident occurring while our group is attending Mountain Fellowship Camp.
I further understand that photographs of our group enjoying the camp may be taken by or shared with the Mountain Fellowship Camp staff and may be used by Mountain Fellowship Camp for promotions, brochures, web design, Facebook and/or any other form of promotion or advertisements. Any photographs taken by or shared with the Mountain Fellowship Staff become the property of Mountain Fellowship Camp.

By clicking send you are agreeing to the conditions of use.

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