Chaplain Family Information

Chaplain Family Information

Date

Chaplain Name

First Last

Chaplain Email

Chaplain Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Chaplain Phone

Will your family be staying with you while at Camp Geneva?

Will your spouse be co-chaplaining with you?

Spouse Name

First Last

Do you have children?

Child Name

First

Age

Do you have another child?

Child Name

First

Age

Do you have another child?

Child Name

First

Age

Do you have another child?

Child Name

First

Age

Do you have another child?

Name

First

Age

Food allergies/Dietary restrictions/preferences

Please describe your food allergies/dietary restrictions /preferences

Chaplain T-Shirt Size

Spouse T-Shirt Size if Co-Chaplaining