LOMT - Lutheran Outdoors Ministry of Texas

To PAY a 2012 DAY CAMP Balance Due Click Below

In order to complete your on-line registration, you must do the following:

1. Complete the registration form below.

2. After filling out the form AND before submitting it,

please PRINT the form for your own records.

3. After Submitting your Registration, pay for your registration by

selecting the items that you submitted on the Registration Form.

If you prefer to pay directly to LOMT, you will need to go to the

printable registration form and mail it with your payment.

Click Here to PRINT mail-in form

Discounts and Payments

A $10.00 per week discount is available to campers who register for 3 or more weeks at one time and a $20.00 discount for 5 or more weeks. There is no Early Payment Discounted Rate for Day Camp weeks or no Multiple Child Discounts for Day Camp.

A non-refundable $40 deposit per camper per week is required with the registration form. Deposits are applied to the total fee when the child attends camp.

Any remaining balances (fees for camp), minus the initial deposit, must be paid by the Wednesday prior to the Monday morning your child begins camp. An additional $10.00 service charge will be added to any balances paid after the Wednesday before the Monday camp begins.

NOTE: Shuttle service to Day Camp is not being offered this year.

Complete one form per camper per session.

(all required fields are marked with an*)

LOMT 2012 Day Camp Registration Form
Camper's Name: First* Last*
Parent's/Guardian's Name:*
Spouse's Name:
Home Mailing Address:*
Home City:* State:* Zip:*
Home Church and City:
Camper's Birthdate: Mo.* Day* Year:*
Gender:*

Male

Female

Grade in school as of 9/2012:* Daytime Phone:* ( ) -
Cell Phone: ( )- Evening Phone: ( )-
E-Mail address:*

I request confirmation packet by* Email Regular Mail

NOTE: If you do not have an e-mail, enter the camper's first and last name in the e-mail field.

BALANCES DUE:

I authorize the balances due the Wednesday before the Monday camp begins to be charged to my credit card on that Wednesday*.

No
Yes

I will call my Credit Card information in to the LOMT Registrar (979-247-4128)

I will FAX my Credit Card information (Card Type, Card Number, Card Expiration Date, Card Security

Code) in to the LOMT Registrar (979-247-4120).

I will return here to use the PayPal Balance Due button above.

Registration for (check boxes that apply)*:

(Note campout option for campers age 8 or over)

Session 1: June 4 - 8 Campout

Session 2:June 11 -15

Session 3: June 18 - 22 Campout

Session 4: June 25 - 29

Session 5: July 2 - 6 Campout

Session 6: July 9 - 13

Session 7: July 16 - 20 Campout

Session 8: July 23 - 27

Session 9: July 30 - Aug 3 Campout

Session 10: Aug 6 - 10

Please Print a copy of this Registration Form for your records
before you submit it!

To contact the LOMT Registration Office:
Mailing Address: P.O. Box 457, La Grange, Texas 78945
E-mail Address: registrar@LOMT.com
Telephone Local: 979- 247- 4128
Toll Free: 800-362-2078
Fax: 979- 247- 4120

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