Type of Registration
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Individual
Family
Group
Number of Registrants
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1
2
3
4
5
6
7
8
9
10+
Names, Ages, and Sexes of Registrants
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Names of Youth Leaders/Parents to Attend
Home or Church Address
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Contact Phone
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E-Mail Address
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Home Church
T-Shirt Sizes (Adult or Child)
Rooms Available: $10 per person per night, $40 per family per night.
At the the Assembly of God Kentucky District Campground
Located Approximately 30 minutes from Servant's Heart Church in Crestwood, KY
Phone: 502-241-7111
Servant's Heart Church 12100 Taylorsville Rd Louisville, KY 40299
