PLEASE PRINT THIS FORM AND SEND WITH $50.00 DEPOSIT TO:
LARRY SINCLAIR
P O BOX 1206
FAIRFIELD, TEXAS 74840
REGISTRATION FORM FOR LATHAM SPRINGS CAMP
January 10-14, 2005
NAME_________________________________________________________________________
ADDRESS______________________________________________________________________
CITY, STATE, ZIP_______________________________________________________________
PHONE _________________________________E-MAIL________________________________
(If using credit card phone number is required--Thank you)
PLEASE CHECK THE CLASS, ACCOMMODATIONS, AND YOUR AGE GROUP
WORKSHOP:
TECHNIQUES
ADVANCED
SPECIAL
ADVANCED
VENTRILOQUISM
ACCOMMODATIONS:
MOTEL
MEALS
DORM
RV
SPACE
AGE GROUP ( ) 10 OR UNDER
( ) 13-18 ( )
19-35 ( )
36-55 ( ) 56+
Method of payment Check ___ Money Order___ Credit Cart___
Credit Card information: Master
Charge___ Visa___ Credit Card
number_________________________Exp. date___ ___
Mo YR
FOR YOUR INFORMATION: Aquilla, Texas is
located just south of Hillsboro, Texas and
Northwest of Waco, Texas. Directions will be sent to you when you send
your deposit.
FOR MORE INFORMATION CONTACT:
LARRY SINCLAIR
P O BOX 1206
FAIRFIELD, TEXAS 75840
903-389-5988
MOBILE: 817-832-2590
E-MAIL: larsin@sinclairministsries.com
Site Guide|
About us| Home| Chalk Art
Ministry| Chalk Art Lessons| Chalk Art Supplies|
Chalk Art
Easels| Chalk Art Videos| News|
Prayer Requests| Family| Ventriloquist
Classes| 2003 Schedule| 2004
Schedule| 2005 Schedule| Mission
projects| Photo Gallery
Christian T-Shirts| Video's & CD's