Practice These Principles 4th Annual Campout July 16 - 18, 2010 Registration Form (Please fill in for everyone attending) Name ____________________________ Phone # (      )                                                Age (if under 12) ____________________ Street Address ______________________________ City _______________________ State _____ Zip _______________ Name ____________________________ Phone # (      )                                                Age (if under 12) ____________________ Street Address ______________________________ City _______________________ State _____ Zip _______________ Name ____________________________ Phone # (      )                                                Age (if under 12) ____________________ Street Address ______________________________ City _______________________ State _____ Zip _______________ Name ____________________________ Phone # (      )                                                Age (if under 12) ____________________ Street Address ______________________________ City _______________________ State _____ Zip _______________ *Please write any special needs on the back of this registration form* Weekend Package: Number Attending:______________________ @ $30 each: $ _____________________ total amount Enclosed is my check or money order payable to Practice These Principles for the above total amount.                                           *All money is a non-refundable donation*  Stay for a day package: Number Attending:______________________ @ $10 each: $ _____________________ total amount Enclosed is my check or money order payable to Practice These Principles for the above total amount.                                            *All money is a non-refundable donation*  Just coming for the workshop package: Number Attending:______________________ (free of charge) We will pass the basket for our Seventh Tradition. * Please fill out the registration form so we will be able to contact you and confirm your registration. * Mail to Practice These Principles PO Box 604  Riverside, PA 17868 * To print form select and highlight all text and then print selected area.