*Name

*Address

*City *State * Zip

*Home Phone Work Phone

*Birthdate (m/d/y) *Age

Email:

Yes, you can count on me. I would like to volunteer for:

Overcomers Session I - July 20 - 24

Overcomers Session II - August 16 - 21

Autumn Getaway- October 26 - 30

I am a new volunteer.

I found out about Overcomers through

Any Additional Information:

I would like to make a:
$50   $100   $300   $360 (full cost)  donation to help offset the cost to Overcomers of my week at camp.

Please find $ enclosed

I'll send $ at a later date.

I'm interested in volunteer but do not want to commit myself now. Please contact me-I have a few questions.

PLEASE NOTE: Receipt of this form does not guarantee acceptance into our program since the number of volunteers necessary depends on the number of campers that apply.