Registration Form
Yahshua's Memorial & Feast of Unleavened Bread 2010
Scheduled to begin 03/29/10 at sunset and end 4/06/10 at sunset
The campgrounds will be open from 3/28/10 through 4/08/10. Permission must be granted and special donations required to stay at other times. YOU MUST CALL TO OBTAIN PERMISSION.
Please register for the Feast as early as possible. Your Campsite/Head of Household Donation is used to prepare the Sanctuary/Campground and for the services provided such as water, electric, sewage, and garbage disposal, as well as paper products/cleaning supplies.
CAMPSITE DONATIONS
Tent Site.................................................................................................$36.00
Van/Truck/Trailer Site WITHOUT UTILITIES.....................................$36.00
Trailer Site with WATER & ELECTRIC ONLY................................$180.00
Trailer Site with WATER & ELECTRIC & SEWER.........................$270.00
Permanent Dwelling On Grounds..........................................................$36.00
Head Of Household Donation (Only if no other donations apply).........$36.00
CAMPSITE NEEDS AND REQUESTS
Head of Household's Name:
When do you plan to arrive on the campgrounds:
Type of Site# Of SitesX Site Donation= Subtotal
Tent or Vehicle or Camper with No Utilities X $36.00=
Camper with Water & Electric ONLY X $180.00=
Camper with Water, Electric & Sewer X $270.00=
I am staying with someone else.
I am staying with: 		X $36.00=
I am NOT staying on the campgrounds.
I am staying: 		X $36.00=
I am staying in my dwelling on the grounds where I provide my own utilities. X $36.00=
Total Donation (US Currency ONLY) Enclosed:$
Campsite Requests/Changes:
Utilities for individual campsites will not be turned on until you have registered.
Please register in advance so your site may be prepared for your arrival.
YOU MUST AGREE TO THE FOLLOWING CONDITIONS IN ORDER TO BRING OR LEAVE A CAMPER ON THE CAMPGROUNDS:

  • If your camper is in a section designated for full hookup, the full donation is required for that site.
  • If you have a camper on the grounds, even if you are not planning to stay in it, the full donation is required for use of the site or the camper must be removed.
  • If you allow someone else to stay in your camper, it is your responsibility to either make the appropriate donation for the site or ensure the full donation is made.
  • The House of Yahweh allows members in great standing to leave personal property (such as campers, RV’s, storage buildings and trailers) on the campgrounds between Feasts at their own risk. The House of Yahweh assumes no responsibility for damages to any personal property of any kind left on the campgrounds. All personal property and their contents left on the grounds need to be insured by the owner(s) against fire, theft, vandalism and damages of any kind. By leaving personal property on the campgrounds, you are complying with this policy.

THE HOUSE OF YAHWEH DOES NOT RENT OR PROVIDE TRAILERS/CAMPERS
MEMBER INFORMATION
Head of Household's Name: (Please include old last name)
 Birthdate
 First Feast?
Yes   No
Mailing Address:
 City:
State:
Zip:
 Home Phone:
 Work Phone:
Fax Number:
 Email Address:
 Cell Phone:
 Page:
List Below Other Family Members, Under Your Headship, Who Will be Attending The Feast With You
NameBirthdateRelation To YouFirst Feast?
Yes   No
Yes   No
Yes   No
Yes   No
Yes   No
Yes   No
Yes   No
Yes   No
Yes   No
Yes   No
Yes   No
SPECIAL TALENTS
Please list any special talents or skills you or your family members may have:
 
EMERGENCY CONTACT INFORMATION
Health care provider:
Phone Number:
Family contact:
Phone Number:
VOLUNTEER AREA
I would like to assist at the following volunteer area(s): (Please check as many boxes as you desire.)
Men: Cleaning Carpentry Food Prep Office Teaching Answering Telephone
Women: Cleaning/Sanctuary Service Cooking Office Teaching Answering Telephone