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Iowa RP Family Camp/Conference
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Scroll down for the registration form.
Medical Emergency Form
Send Registration to: Nancy Skubal, 3189 223rd Street, Ainsworth, IA 52201
Checks Payable to: Iowa RP Family Camp

Activity & Meals (per person): a.) age 0-3/$14  b.) ages 4-8/$38  c.) ages 9-11/$81
                                               d.) ages 12 and above/$99
Lodging: a.) Cabin $72 (per personfamily* maximum $240)  b.) Shepherd’s Inn $280 (per room up to
2 people)
 c.) Lodge $340 (per room up to 6-8+ people)  d.) tent/RV electric hookup $64 (per person
family* maximum $220)  e.) tent/RV Non-electric $52 (per personfamily* maximum $140)
*Family is a family staying in one cabin/tent with one ‘head of household’






Contact Name: __________________________________________________________________

Address: _______________________________________________________________________

Phone: _________________________________________________________________________

E-mail: _________________________________________________________________________
(required for registration confirmation)






Contact Name: ____________________________________________________________________

Address: _________________________________________________________________________

Phone: (H) _________________________________ (C)___________________________________

E-mail _______________________________________________________
(required for registration confirmation)

Are you willing to share your lodge room or family cabin: Y/N

                Come join the fun!

If you plan to arrive early, inquire about in-home lodging
with either members of the Sharon or Washington RP Churches.
Name (as you wish it to appear on your
badge)
Total for all campers:
1/4 due with registration:
Adult’ or age
on Aug 15th
Activity Fee
based on age
Lodging
choice
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Lodging
price
Total for camper
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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