INDIVIDUAL REGISTRATION FORM

For group registration please register here

First Last    
Address Ap't#    
City State Zip Code
Telephone: Cell#    
Email        

Gender
Age
M
F
  

Arrival Date Departure Date

Means of Transportation
Automobile Train
Bus Plane

If airport pickup is needed, state details. (If not known now, please notify at a later date)


Airline
Flight #
Arrival time in Orlando, Florida

Airline
Flight #
Departure time from Orlando, Florida

If you have any special requests about transportation or getting picked up elsewhere, please make arrangements with the camp director directly at fl.director@kachinfamilycamp.org

**To get the discounted price, you must register and send in your payment by March 23, 2008 to the following:

            JKBC
            6328,Columbine Drive
            Jaconsville
            FL 32211