RIVER VALLEY CHURCH
CAMP DISCOUNT FORM Please select all that apply: m Kid’s Camp (June 24-27)
m Youth Camp (July 15-19)
Please select from the following: m Single-Parent Discount
m Sibling Discount
Camp Discount Policies: This form must be submitted and approved prior to your online registration. Send completed application and any questions to go@rivervalley.org or youth@rivervalley.org by the listed deadlines below in order to receive a discount code for use when registering. Deadline for Kid’s Camp: May 10th; Deadline for Youth Camp: June 17th. Please Note: Sibling Discount takes effect with second sibling’s registration. (First registered sibling pays full price and all subsequent siblings receive a 15% discount.) Discount only applies to siblings within same family. All listed siblings must be attending camp this summer with River Valley.
FAMILY INFORMATION: Parent(s) Name: ________________________________________________________________________________________ Home Address: _________________________________________________________________________________________ Campus: _________________________________
Phone: __________________________________________________
E-mail: _________________________________________________________________________________________________ Family’s Relationship to River Valley Church: Current Membership Status (select one):
Member ____
Attendee (1+ years) ____ Visitor ____
How long have you attended River Valley Church? _________________________________________________________ Do you normally attend River Valley Church? ______________________________________________________________ In what area(s) of the church do you currently serve? ________________________________________________________
CAMPER #1 Name: ___________________________________________________ Phone: ______________________________________ E-mail: _________________________________________________
Grade (this fall): __________
DOB: ___________
Do you normally attend River Valley? _______________ How long have you attended River Valley? ______________ In what area(s) of the church do you serve? ________________________________________________________________
CAMPER #2 Name: ___________________________________________________ Phone: ______________________________________ E-mail: _________________________________________________
Grade (this fall): __________
DOB: ___________
Do you normally attend River Valley? _______________ How long have you attended River Valley? ______________ In what area(s) of the church do you serve? ________________________________________________________________
CAMPER #3 (if applicable) Name: ___________________________________________________ Phone: ______________________________________ E-mail: _________________________________________________
Grade (this fall): __________
DOB: ___________
Do you normally attend River Valley? _______________ How long have you attended River Valley? ______________ In what area(s) of the church do you serve? ________________________________________________________________
CAMPER #4 (if applicable) Name: ___________________________________________________ Phone: ______________________________________ E-mail: _________________________________________________
Grade (this fall): __________
DOB: ___________
Do you normally attend River Valley? _______________ How long have you attended River Valley? ______________ In what area(s) of the church do you serve? ________________________________________________________________
CAMPER #5 (if applicable) Name: ___________________________________________________ Phone: ______________________________________ E-mail: _________________________________________________
Grade (this fall): __________
DOB: ___________
Do you normally attend River Valley? _______________ How long have you attended River Valley? ______________ In what area(s) of the church do you serve? ________________________________________________________________
Discount Eligibility: We offer discounts depending upon a family’s circumstances and following evaluation from our leadership team, including Go Kids / YTH Pastors.
FOR OFFICE USE ONLY: Submission Date: _________________ Approval Date: ___________________ Awarded Amount: _______________ Account Number: ________________ Processed By: _____________________