Adult Camps Registration 2010

Husband's First Name Last Name

Wife's First Name Last Name (Couples Retreat Registration)

Home Phone * Emergency Phone Include Area Code in both 

E-Mail   Note: By providing your e-mail address, you are granting permission to Camp Witness to send occasional announcements and communications via e-mail.  These may be related to the specific camp being registered for or general announcements concerning the camp's activities. 

                                                          Allergies    

Church Information

Church is not listed Assembly of God Church: Ainsworth, NE Catholic Church: Ainsworth,  NE Church of the Nazarene: Ainsworth,  NE Evangelical Free Church: Ainsworth,  NE Parkside Berean Church: Ainsworth,  NE United Methodist Church: Ainsworth,  NE Albion Evangelical Free Church: Albion,  NE Faith Wesleyan Church: Atkinson,  NE United Methodist Church: Bartlett,  NE Episcopal Church: Bassett,  NE St Peter Lutheran Church: Bassett, NE Sybrant Community Church: Bassett, NE United Methodist Church: Bassett, NE Grace Brethren Church: Beaver City,  NE Twin Valley Church: Bellevue,  NE Assembly of God: Big Springs, NE Trinity Lutheran: Blair, NE Broken Bow Berean Church: Broken Bow,  NE Brunswick Community Church: Brunswick, NE Burwell Baptist Church: Burwell,  NE Butte Community Bible Church: Butte,  NE Community Bible Church: Central City, NE Chadron Berean Church: Chadron, NE New Covenant Church of the Nazarene: Chadron NE Ridgeview Bible Church: Chadron,  NE Memorial Baptist Church: Chambers, NE Calvary Chapel, Colome, SD (south of Colome) Zions Lutheran Church: Colome, SD St. Johns Lutheran Church: Dimock SD Sandhills Community Church: Dunning, NE Immanual Lutheran: Elk Point SD United Parish: Elk Point, SD Pleasant Point Community Church: Ellsworth, NE First Christian Church: Elm Creek,  NE Countryside Baptist Fellowship: Emmet,  NE Green Valley Sunday School: Emmett,  NE Sandhills Baptist Fellowship: Ericson NE St. Theresa's Catholic Church: Ericson NE Trinity Lutheran: Fairfax, SD First Baptist Church: Fort Collins, CO Calvary Memorial: Gering,  NE Glenwood Community Church: Glenwood,  IA Evangelical Free Church: Grand Island, NE Grace Community Church: Great Bend, KS Berean Fundamental Church: Gregory,  SD St. Johns Lutheran Church: Gregory, SD Union Congregational Church - Gregory, SD United Methodist Church: Gregory,  SD Evangelical Free Church: Hastings, NE Hawley Alliance Church: Hawley, MN Hebron Bible Church: Hebron, NE Northwest Community Church: Lincoln NE St. Joseph Catholic: Lincoln, NE Lucas Baptist Church: Lucus SD Dorsey Community Church: Lynch,  NE St. John's Lutheran Church: Madison,  NE First Baptist: Maxwell, NE Mills Community Church: Mills,  NE Sandhills Community Bible Church: Mullen,  NE New Holland Christian Reformed Church: New Holland,  SD Fellowship Bible Church: Newman Grove,  NE Grace Lutheran Church: Norfolk,  NE Sacred Heart Catholic: Norfolk NE Victory Road Evangelical Free Church: Norfolk, NE Bethal Evangical Free: North Platte, NE Riverside Baptist Chruch: North Platte, NE Community Bible Church: Omaha, NE Faith Bible Church: Omaha,  NE Faith Community Church: O'Neill,  NE St. Patrick's Catholic Church: O'Neill,  NE United Methodist: O'Neill, NE Bethel Baptist Church: Ord, NE Ordway Christian: Ordway, CO Calvary Baptist Church: Platte, SD Christian Reformed Church: Platte,  SD First Reformed Church: Platte, SD Evangelical Lutheran: Presho,  SD Friendship Community Church: Sgt Bluff, IA Our Savior Luthern Church: Spencer,  NE St. Mary's Catholic Church: Spencer,  NE Weslyan Church: Spencer,  NE New Hope Community Church: Springview,  NE United Methodist Church: Springview,  NE Gandy Community Bible Church: Stapleton, NE Berean Fundamental Church: Valentine,  NE United Methodist - Valentine, NE Wagner Community Church, Wagner SD Calvary Chapel, Wewela, SD Assembly of God Church: Winner,  SD Calvary Chapel: Winner,  SD Church of the Nazarene: Winner,  SD Empty Cross Ministries; Winner, SD First Christian Church: Winner,  SD Immaculate Conception Catholic Church: Winner, SD United Methodist Church: Winner,  SD Winner Community Church: Winner,  SD United Church of Christ: Wood, SD   Churches are alphabetical by City

Home Church  Sponsoring Church

ONLY ENTER the next three field if you were unable to select a church from the list above

Church Name Church City Pastor's Name

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