SEJ CAMP LEADERS GATHERING
      REGISTRATION FORM

January 11-14, 2016

SEJ Leaders Gathering 2016
Name of Camp:


Contact Person:


E-mail Address:


Address:


City:


State:


Zip:


Phone Number:


Total Number of Participants Attending:


Comments:



Please fill out the following form for each participant:


Name:


Cost:


Position at Camp:


Roommate Request:




Name:


Cost:


Position at Camp:


Roommate Request:




Name:


Cost:


Position at Camp:


Roommate Request:




Name:


Cost:


Position at Camp:


Roommate Request:




Name:


Cost:


Position at Camp:


Roommate Request:




Name:


Cost:


Position at Camp:


Roommate Request:





TOTAL COST:























COST


EARLY BIRD DEADLINE: December 1st 

REGISTRATION DEADLINE: December 15th


 

 Early Bird Rate 


Single Occupancy $329
Double Occupancy $245
Triple Occupancy $228
Quad Occupancy $219



 


   Regular Rate  

Single Occupancy
$354
Double Occupancy
$270
Triple Occupancy $253
Quad Occupancy $244



***Please note that your registration is NOT complete until we have received a $50.00 deposit for each participant. Payment can be made by mailing a check made out to Sumatanga Camp and Conference Center to:

Sumatanga Camp and Conference Center 

3616 Sumatanga Road 

Gallant, AL 35972


You may also pay with a credit card by calling 256-538-9860.


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