Ireland Men's Camp 2018
Wednesday Saturday, April 4th - April 7th

 

CHURCH REGISTRATION FORM

PLEASE PRINT THIS, and then FILL IN THE FOLLOWING INFORMATION
And then POST/EMAIL it to the address at the bottom of this page

COORDINATOR'S NAME: _________________________________________  BDAY ___________

ADDRESS: _________________________________________________________________________

CITY: ___________________________, COUNTY: ___________________ POST CODE: ___________

CONTACT MOBILE:  ________________________________________________________________

CHURCH NAME ____________________________________________________________________

CHURCH ADDRESS ___________________________________________________________________

                   ___________________________________________________________________________

CITY: ___________________________, COUNTY: ___________________ POST CODE: ___________

PASTOR'S NAME: _______________________________________ MOB: _______________________

NAMES AND BIRTHDATES OF MEN/BOYS COMING ALONG WITH YOU

NAME: _____________________________________________ BDAY ____________ AGE _____

NAME: _____________________________________________ BDAY ____________ AGE _____

NAME: _____________________________________________ BDAY ____________ AGE _____

NAME: _____________________________________________ BDAY ____________ AGE _____

NAME: _____________________________________________ BDAY ____________ AGE _____

NAME: _____________________________________________ BDAY ____________ AGE _____

NAME: _____________________________________________ BDAY ____________ AGE _____

NAME: _____________________________________________ BDAY ____________ AGE _____

NAME: _____________________________________________ BDAY ____________ AGE _____

NAME: _____________________________________________ BDAY ____________ AGE _____

NAME: _____________________________________________ BDAY ____________ AGE _____

NAME: _____________________________________________ BDAY ____________ AGE _____

NAME: _____________________________________________ BDAY ____________ AGE _____

NAME: _____________________________________________ BDAY ____________ AGE _____

NAME: _____________________________________________ BDAY ____________ AGE _____

WHAT DAY WILL YOU ALL BE ARRIVING? Wed [__], Thur [__], or Fri [__]
Enclose a check for 20 euros per person booking

CONTACT US FOR MORE INFORMATION:
 Ireland Christian's Men's Camp
is a ministry of the
Bible Baptist Church

         Unit B, Enterprise Park, Innishmore, Ballincollig, Cork, Ireland
    www.biblebc.com      +353-21-4871234      087-2766764      Email