LMC: Form

Registration Form

*FIELDS WITH ASTERISKS MUST BE COMPLETED*
*Name:	*Email Address:
*Birthday:	Physical Condition

Age as of June 1st:
*Years:	*Months :

Church Preference

*School Attended in June:

*Grade Completed in June:

School Address:

School City & State:

Principal's Name:	Phone:

Has he ever attended any camp?: Yes No	If so, where:

Family Information:
Brother:	Age:	Sister:	Age:

Brother:	Age:	Sister:	Age:

Brother:	Age:	Sister:	Age:

Legacy Information:

Name:

Address:

Year (s):

Relationship:

This application has been approved by:

*Street Address:

*Phone Number:

*City: * State: * Zip Code:

Business Address:

City: State: Zip Code:

Vocation or Profession:

Where you contacted by a representative: Yes: No:

If yes, by whom?:

*** Session Dates Required: ***

Lookout Mountain Camp Cabin Request
Cabin Requests are not Guaranteed***
Please write below the names(s) of the boy(s) with whom you wish to cabin:

** There are a large number of considerations (Age, City, Grade, New/Old Camper, Health, Separation Requests, Team Assignments, Session Length, etc.) in Cabin assignments. Assignments are made for the benefit of your son, his cabin and the camp. In the event your requests are not met, we apprecisate your understanding and support upon arrival. Although cabin requests will be taken into consideration, The Camp reserves the right to make final decisions on cabin assignments

PLEASE PRINT A COPY OF THIS FORM

If you have issues with the processing of this form. Please FAX your printed copy to
(504) 891-5304 or (504) 861-1686