Camp Discount Application

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: _____________________