Children's Mission Camp Hold Form

Did your church attend Tall Timbers for camp before this year?*

Yes
No

Church Name*

Church Name / City / State*

Church Billing Address*

Street Address City State ZIP Code

Church Phone*

Church Email (if no email, type none)*

Are you a NEW contact person for this church registering for camp?*

Yes
No

Your name:*

Your Cell Phone*

Email*

Your Address*

Street Address City State ZIP Code

Church Employee or Church Contact?*

Church Employee
Church Contact

Your Title:

Your gender:*

Male
Female

Date of Birth (to avoid duplicate names in online system)*

How many spots are you reserving for camp?

You must have 1 adult male per 8 male students and 1 adult female per 8 female students. Your primary adult leader for each gender must be, at minimum, 21 years of age.

What method will you pay for camp deposit today?*

Pay by credit card with this form
Mail a check to Tall Timbers

Number of male chaperones*

Price: $105.00

All fields are required. Type '0' if there are none.

Number of male students*

Price: $105.00

All fields are required. Type '0' if there are none.

Number of female chaperones*

Price: $105.00

All fields are required. Type '0' if there are none.

Number of female students*

Price: $105.00

All fields are required. Type '0' if there are none.

Number of male chaperones*

Number of male students*

Number of female chaperones*

Number of female students*

Total people in your group:

Total Deposit Amount ($105 per person due)

$0.00

Total Deposit Amount ($105 per person due by check)

LODGING - cabins only

Only Cabins will be available for this camp. Hotel rooms are only for families or special requests. Each Lee Lodge room holds two full size beds with a bathroom/shower and with towels and bed linens provided. Extra charge of $15 per person.

Select Lee Lodge if you need a hotel room.

Lee Lodge hotel room

For families or special requests

Type any special needs in regards to lodging below (no stairs, handicap, etc.). If you selected that you needed a hotel room, please list their names and relations below.

Please choose one security question of your choice for us to set up your online registration and provide the answer below:*

What is the name of the city in which you were born?
What is the name of the elementary school you attended?
What is your favorite color?
What is your mother's maiden name?
What is your pet's name?

Answer:*

Payment for Deposit

Deposits must accompany this hold form to secure spots at camp. If your church prefers to send a check, and you chose "mail a check to Tall Timbers," we must receive your check no later than 2 weeks from the submission of this hold form, or your spaces will be released. DEPOSITS ARE NON-REFUNDABLE.

Credit Card Payment for Deposit*

Card Details

Cardholder Name

Children’s Mission Camp Hold Form

How many spots are you reserving for camp?

LODGING - cabins only

Payment for Deposit

Tall Timbers Baptist Conference Center

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