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Centrifuge Deposit Form – Due May 22

 

 

Name of Church/Location_____________________________________________

 

Contact Person/Phone _______________________________________________

 

Estimated number of boys: _____                      Estimated number of male sponsors: ______

 

Estimated number of girls: _____                       Estimated number of female sponsors: ______

 

Estimated # of all students ________       x    $50 Deposit = ___________

Estimated # of all sponsors ________      x   *$50 Deposit = ___________

 

*Note: Each Wyoming SB church is allowed ONE MTBA credit of $50 to help with the camp fees for one of their full-time/bi-vocational paid church staff member or pastor's wife who is coming to camp as a sponsor . If you are taking advantage of this MTBA credit, list their name and position:

_______________________________________________________________

 

  

       Please submit this information to:   Quin Williams, Centrifuge Director

                1930 Boyd Avenue

                Casper , WY 82604

                307-261-9896