Camp Creation Registration Form 2017. 425-830-5947 (Rebecca)
Mail to:
Chapel Wood Baptist Church
PO Box 277
Black Diamond, WA 98010

Student Name_____________________________________________________________________

Street Address___________________________________________________________________

City,State,Zip___________________________________________________________________

Phone – day/night_____________________________/__________________________________

Parents Names_____________________________________________________________________

Email ____________________________________________________________________________

Student Gender
Male / Female

School Grade__________________________________________

Church Name____________________________________________

Church City____________________________________________

Church Contact_______________________________________________________________________

Contact’s Phone #____________________________________________________________________

Camp Creation is a fun, Bible based weekend at Fort Flagler, Camp Hoskins ELC, on Morrowstone Island Near Port Townsend, Washington where children learn the biblical truths behind creation. Our theme this year is Amazing Creatures... Amazing Creator.



Camp starts Friday night, October 6th, 2017. Chapel Wood bus is due to leave at 4:30 PM and arrive at 7:00PM. The camp directors will be on site after 7:00 PM to receive students. All students not riding the bus back to Black Diamond *must* be picked up by 10:00 AM on Sunday, Oct 8th.

The cost is $40.00 per student.
Check is enclosed.
Completed permission Slip required for each child. (Separate form)