Housing Request and Child Care Info Form

Southeast Chapter Camp 2017

To help facilitate families and child care providers at Chapter Camp, please complete the following before April 24th. I know this will seem tedious and maybe even a little redundant but it will really help us to have this information all in one place. Thanks for your understanding! Questions? amberly.ferebee@intervarsity.org

Staff *
Staff
Phone
Phone
Who is attending with you? *
Staff Spouse
Staff Spouse
Staff Spouse will arrive on:
Staff Spouse will arrive on:
Staff Spouse will leave on:
Staff Spouse will leave on:
Child Care Provider
Child Care Provider
Child Care Provider will arrive on:
Child Care Provider will arrive on:
Child Care Provider will leave on:
Child Care Provider will leave on:
Child 1
Child 1
Child 1 will arrive on:
Child 1 will arrive on:
Child 1 will leave on:
Child 1 will leave on:
Child 2
Child 2
Child 2 will arrive on:
Child 2 will arrive on:
Child 2 will leave on:
Child 2 will leave on:
Child 3
Child 3
Child 3 will arrive on:
Child 3 will arrive on:
Child 3 will leave on:
Child 3 will leave on: