Full-Time Registration
The full-time price for those 18 and older is $245.00/adult. Please complete the following information. If children are 18 and over, please have them fill out their own form.
Last Name:*
First Name:
Gender:*
Spouses Name:
Gender:
Age Range:*
 18-29
 30-39
 40-49
 50-59
 60+
Children 4-11 years of age ($145.00 each for the full week). Children under 4 years of age are free. Please list all children 11 years of age and younger, even if they are under 4 years of age.
Child's Name:
Gender:
Age:
Child's Name:
Gender:
Age:
Child's Name:
Gender:
Age:
Child's Name:
Gender:
Age:
Children 12-17 years of age ($170.00 each for the full week). Please list all children 12-17 years of age.
Child's Name:
Gender:
Age:
Child's Name:
Gender:
Age:
Child's Name:
Gender:
Age:
Child's Name:
Gender:
Age:
Phone Number:*
Email:*
Street Address:*
City:*
State:*
Zip code:*
Branch Church*
Full Time is Tuesday, July 30th - Monday, August 5th
Arrival Date:*
Departure Date:*
Are you bringing a RV? (RV price is $38.00/night plus meals)*
 Yes
 No
Are you an Apostolic Faith Minister?
 Yes
 No
Do you need church provided transportation from the St. Louis airport to the camp?*
 Yes
 No
If church-provided transportation is needed, please complete the transportation form.
I acknowledge that I must have approval from my local pastor before attending Midwest Camp.*


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