2010 MAIL-IN REGISTRATION FORM
Complete the registration form below. Print the form and mail it with your personal check and or appropriate campership forms. Or you may fill out your credit card information in the appropriate spaces on the bottom of the registration form, and then print the form and mail it to us.
Total Registration Fee must accompany Registration Form Payment Information: Personal checks, money orders, Discover, American Express, Mastercard and Visa are accepted for payment of the fees. If you are using a Campership certificate, it must also be included with the registration form. Sorry, no telephone registrations are accepted. Please submit a separate form for each event. Trading Post money and other fees can also be paid in advance. Please make checks payable to: Lutheran Outdoors Ministry of Texas. Mail the registration form to: The LOMT Registrar, P.O. Box 457, La Grange, Texas 78945 Discounts An Early Payment Discounted Rate (lower listed costs) applies only when registration is postmarked or submitted online before March 15 or May 1, 2010. The Multiple Child Discount is available to families that have two (2) or more children in the same household who will be attending week long or weekend sessions. The week long Multiple Child discount is $30 per child and the weekend Multiple Child discount is $15.00 per child. Multiple child and early payment discounts may be combined. (Sorry, Pioneer and Family Camps are not included in these discounts.)
Cancellation Policy a) If a cancellation request is made two (2) weeks or more before the check-in date of the camp session registered for, the registration and other fees minus $100 per weeklong session ($50 per weekend session) may be refunded or transferred to another session or camper. b) If the cancellation request is made less than two (2) weeks before the check-in date of the camp session registered for, ONLY IF a replacement camper is secured will the registration and other fees minus $100 per week long session ($50 per weekend session) be refunded or transferred to another session or camper. c) For cancellation requests made less than twenty-four (24) hours before check-in, there will be no refund or transfer of registration funds. To contact the LOMT Registration Office: Mailing Address: P.O. Box 457, La Grange, Texas 78945 E-mail Address: info@LOMT.com Telephone: Local 979- 247- 4128 Long distance: 800-362-2078 Fax: 979- 247- 4120
Complete one form per camper per session. (all required fields are marked with an*)
Summer Camp 2010 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 Birthday: Mo.* Day* Year:* Male* Female* Grade in school as of 9/2010:* Daytime Phone:* ( ) - Cell Phone: ( )- Evening Phone: ( )- E-Mail address:* I request confirmation packet by e-mail For Family Camp Sessions, use space above for husband, wife, and first child attending. Use spaces below for name and age (at time of event) for additional children: Name: Age: Name: Age: Name: Age: Campers may request up to two cabin mates of the same sex. Your child's name must also appear on the cabin mates' registration. Only reciprocal requests will be considered. Cabin mate Name: City: Cabin mate Name: City: Registration for: Camp Lone Star Sojourn Please indicate the name and date of the camp session. Session Name:* Date:* Session Fee:* $ Trading Post: $ DVD $ Extra Meals: $ Group Photos: $ Group Photos and DVD's are for week long programs only. Group photos are $5.00, extra meals are $6.00 and DVD's are $15.00. Total Fees:* $ ************************************************************************* Fill out the Credit information below only if you are paying with a credit card. Discover American Express Mastercard Visa Card Number Card Exp. Date Card I.D. # The 3 or 4 digit security code may be found on the back of the card, except for the American Express 4 digit code which is on the front. Name as it appears on Card Complete Address of Cardholder Street City, State Amount to be Charged $ Current Date