2006 Summer Service Camp Reservation / Registration Form
Official registration occurs once payment has been received. Upon receipt of payment, we will send you a medical form to complete and send back to us. All payments must be received by June 18, 2006.

Participant’s Name:
Address with 
City, State, and Zip:

Grade in School This Fall: 6th   7th   8th   9th         T-Shirt Size

Phone:         Email Address:

Parent's Email Address (es):

Make checks payable to: Trinity Episcopal Church, 708 South Bethlehem Pike, Ambler, PA 19002

Space is limited! Register early! Registration Deadline: June 18, 2006 
Cost: $110 per student