Ozark Sufi Camp Registration form

 

 

Camp Attendant:
Last Name	First Name	Sufi Name (or the name you want on your Camp Badge):
Spouse / Partner:
Last Name	First Name	Sufi Name (or the name you want on your Camp Badge):
Children:
Last Name	First Name	Gender	Age	Sufi Name (or Camp Name Badge)

 

Address:

_______________________________________________________________________________________________________
 

 

Phone:                               Email:

__________________________________   ______________________________________

 

Special dietary needs: ____________________________________________________

 

 

Coming for the whole camp _________________ or _________________ days:

 

Arriving(day/time) _______________________(Important for meal planning & buying)

 

Departing(day/time)_______________________(Important for meal planning & buying)

 

 

Cabin preference(s)(Circle one):

 

Family         Men    Women   Teen/Names:

  

 

 

(Check one)

Camp fees enclosed                 $ ________________________

 

Deposit/Adult amount($100 minimum) $ ________________________ 

                                     (Fee Due in Full by May 16^th)

 

Please make check payable to Ozark Sufi Camp and mail to Registrar:

 

Saafir Seck

7914 Fairway

Prairie Village, KS 66208