REGISTRATION FORM - ENDLESS MOUNTAINS PRAISE FESTIVAL
QUESTIONS? Call 570-946-7121 OR E-mail Nordmont Christian Camp

Since this is our first year,
PLEASE REGISTER, even if you do not need a Camp Site or Bed.
It will help insure we are properly prepared.
Thank You
!!!! Wait for this page to fully load or it may not send your data properly !!!1
Name?
 Mailing Address?
City? State?
Zip Code? Phone?
E-mail Address? Fri. PM arrival time?
Sat. AM Arrival time? Sat. PM arrival time?
Individual? Family?
Church Group? Other?
Total # in party?
 # of youth?
# of teens?
 # of adults?
# of men? # of women?
Do you desire Bunk House Beds? # of beds for males?
# of beds for females? I / We don't need a Camp Site or Bed.
Just letting you know we plan to attend.
Do you desire RV camp site? Do you desire Tent Camp site?
Emergency phone # at home?
Sat. May 29: Child Day Camp 10 a.m. to 4 p.m. - Kids 5-10 years old
In the box below list # of children to attend day camp & age of each.
Saturday May 29: Praise & Worship Seminars
10 a.m. Worship: Why we do the things we do. # to Attend?
11 a.m. Diversity of worship; Celebrate or Tolerate? # to Attend?
Sometimes the server burps when you Submit this data.
Simply click "Back" or "Go>Back", then fIll it out again and reSubmit.
When it has worked, a data screen that looks something like the one below will appear.
We apologize for the Server's ailment!

WWW.GEOCITIES.COM EMAIL SENT

THE FOLLOWING MESSAGE HAS BEEN SENT.


Reply-to: No Return Email (Geocities WebMonitor mail)
From: No Return Email (Geocities WebMonitor mail)
To: PRAISE FESTIVAL
Subject: FORM results

(Enter your name here) Clem Kadiddlehopper
(Mailing Address) My Street
(City) Philadelphia
(State) PA
(Zip) 111111-1111
(Phone) 111-111-1111
(E-mail Address) 11111@place.net
(Friday Arrive) 5 pm
(Saturday AM Arrive) Sat. A.M. arrival time?
(Saturday PM Arrive) Sat. P.M. arrival time?
(Group) Other
(Other) Christian School
(# in Party) 50
(# of Youth) 40
(Teens) 5
(Adults) 5
(Men) 25
(Women) 25
(Stay) Bunk House
(Beds for males) 25
(Beds for females) 25
(Emergency Phone # at Home) 111-111-1111, 111-111-1112
( # of Kids & Age) 5, 2 are 6, 3 are 8
( Why we do the things we do.) 5
(# to attend Diversity of worship...) 5
(submitButtonName) Submit Registration Form

























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