Online Retreat Registration Form
This form is primarily for individual and family Camp Horizon Sponsored retreat registrations where the invoice goes to one address.

To register a team for sports events use the notes sections to indicate total teams, spectators, players, and overnight lodging needs.
You do NOT need to list all of the attendees, just tell us how many to expect.
An invoice will be emailed to you with your confirmation. Payment must follow to complete the registration process.

As events are confirmed and the flyer is posted they will be added to this form. As registrations close, they will be removed.
Please notify us if there is an error. (info@camphorizon.org)

Date MM/DD/YYYY *REQUIRED  

First Name

*REQUIRED  
Last Name *REQUIRED  
Address *REQUIRED IF YOU ARE NOT ON THE CAMP HORIZON MAILING LIST  
City *REQUIRED IF YOU ARE NOT ON THE CAMP HORIZON MAILING LIST  
State *REQUIRED IF YOU ARE NOT ON THE CAMP HORIZON MAILING LIST  
Zip *REQUIRED IF YOU ARE NOT ON THE CAMP HORIZON MAILING LIST  
Home Phone ###-###-####    
Cell Phone ###-###-####    
Email *REQUIRED TO CONFIRM YOUR REGISTRATION  
Assembly
(or Church)		 *SUGGESTED  
RETREAT    
NOTES

Arrival / Departure information. Examples: Friday/Sat - All Weekend - Saturday Only - Late arrival time
Lodging Preferences. Examples: Cabin with ______ , Lodge, Dormitory
Other information. Examples:: Crop: Full Table; Handicap Access needed; Total Teams

  
ATTENDEE ONE      

First Name

   
Last Name    
Age Level *REQUIRED  
Relationship Relationship in the family, or to the one registering for this event.  
Date of Birth MM/DD/YYYY *Helpful to know how old the children are.  
ATTENDEE TWO      

First Name

   
Last Name    
Age Level *REQUIRED  
Relationship Relationship in the family, or to the one registering for this event.  
Date of Birth MM/DD/YYYY *Helpful to know how old the children are.  
ATTENDEE THREE      

First Name

   
Last Name    
Age Level *REQUIRED  
Relationship Relationship in the family, or to the one registering for this event.  
Date of Birth MM/DD/YYYY *Helpful to know how old the children are.  
ATTENDEE FOUR      

First Name

   
Last Name    
Age Level *REQUIRED  
Relationship Relationship in the family, or to the one registering for this event.  
Date of Birth MM/DD/YYYY *Helpful to know how old the children are.  
ATTENDEE FIVE      

First Name

   
Last Name    
Age Level *REQUIRED  
Relationship Relationship in the family, or to the one registering for this event.  
Date of Birth MM/DD/YYYY *Helpful to know how old the children are.  
ATTENDEE SIX      

First Name

   
Last Name    
Age Level *REQUIRED  
Relationship Relationship in the family, or to the one registering for this event.  
Date of Birth MM/DD/YYYY *Helpful to know how old the children are.  
Payment Option

There are three options. Choose One.
If you choose "PayPal Invoice", the assumption is you are paying inf full.

  

Other Notes:

Additional Children

This extra space is for anything that you want to use it for.

 
   

 

  
Validation Code:

*REQUIRED
If you get an error - refresh the page.

The entire form is emailed to Camp Horizon when you click the submit recommendation button.
You will receive a forwarded copy of the email that we get from this form for your review.

  

CLICK THIS BUTTON ONCE AND WAIT.

NOTE: IF YOU HAVE POP-UPS BLOCKED (or think you might) - HOLD THE CTRL KEY WHLE YOU CLICK


If your form is complete you will be redirected to a confirmation page. If you do not see a confirmation page,
. We will email you a copy of your registration and an invoice on the next business day.