Camp Koinonia Family Camp 2008 Registration Form

Please mail in this form with your Registration Fee by April 1^st, 2008 and Final payment by by May 31^st 2008.

For more info call Gary or Carol Stevens at 585-637-0601 or stevens@campkoinoniany.org

Family Name ______________________________________________________

Adult______________________ Adult_______________________________

Please include the age that child will be on July 1, 2008.

Child______________________ Age_______ Grade in Fall 08 _________

Address____________________________________________________________

City________________ State______ Zip________ Phone ( )_____________

e-mail address _______________________________________________________

Home Parish _________________________________ This is our ___ year attending Camp!

I heard about Camp through ____________________________________________

Week #1: Sunday July 13 – Friday July 18, 2008

Please send this registration form and Registration Fee to

Camp Koinonia

PO Box 58

Spencerport, NY 14559

Week #2: Sunday July 20 – Friday July 25, 2008

First Choice - Week # ________ Second Choice - Week # ________

Registration Fee: A $110 per Family non-refundable Registration Fee is payable at the time of registration.

In addition to the Registration Fee

Per Person Cost: The cost for your all-inclusive stay:

$150 per person for all campers 12 years of age and older

$100 for children between the ages of 6 and 11

Children 5 years of age and under are FREE (Age based on child’s age on July 1)

Donations are always accepted. FOR MORE INFORMATION visit www.CampKoinoniaNY.org