Upcoming events
Family Weekend Registration Form
Cost: $120 per family*
When: June 1st 7:00 pm – June 3rd 10:00 am
Date of Application: ___/___/___
Name:_________________ Number of Children M:_______F:_____
Address: __________________________
City:_____________State:_______Zip:________
E-mail:_____________________
Phone: Home: (____)_____________ Work: (___)_______________
Checks made payable to the Rockfish Camp & Retreat Center. This form may be printed and mailed or emailed, but not faxed, as faxing is considered insecure and puts your credit card information at risk.
If paying by credit card:
Credit card number: __ __ __ __ - __ __ __ __ -__ __ __ __ -__ __ __ __ Expiration date: ___/___
Please Circle: Master card Visa Name as it appears on card:__________________
I give permission for my card to be charged the amount of _______.
Signature of Cardholder:________________ Date:___/___/___
*The cost includes meals (Saturday breakfast – Sunday Breakfast) and lodging for a family of four. There is an additional charge of $30 per child when the number of family members exceeds four.
ROCKFISH CAMP & RETREAT CENTER
226 Camp Rockfish Rd., PARKTON, NC 28371
Phone: (910) 425-3529
Website: www.RockfishOutdoorCenter.org
E-mail: info@RockfishOutdoorCenter.org
