2009 Amos and Nannie Gingerich Reunion Registration Form

To register for the reunion, please insert the requested information below and either e-mail to: gingerichreunion09@gmail.com or mail to Marian Schwabbauer, 2167 Terra Lane, Coralville, IA 52241 as soon as your plans are firm, but no later than June 15, 2009. Thank you.

Before filling out the form below, you may wish to access the Crooked Creek Christian Camp brochure at http://www.crookedcreekcamp.org/documents/rates%20brochure.pdf to review meal and lodging rates. Payment will not be due until you check in at the camp on July 10.

Name:                                                                              Telephone number:

Street Address:                                                               City/State/Zip Code:

Number of people in your group:

Names of all persons in your group (please give the ages of any children under the age of 9):

If you are planning to stay overnight at the camp, please give:

Arrival date and time:                                                   Departure date and time:

We have the entire Retreat lodge reserved for lodging Friday and Saturday nights. Please note any preferences for upper or lower level or if you plan to camp or park a recreational vehicle, below:

If you do NOT plan to stay overnight at the camp, please place the number of people who will be eating at the camp by the meals which you and your family plan to attend:

___Friday evening dinner                                                            ___Saturday breakfast

___Saturday lunch                                                                        ___Saturday evening dinner

___Sunday morning Brunch

All: Please note any dietary sensitivities below.

All: Do you have something (a story, skit, musical selection, collection, or show and tell item) that you would like to share with the group during the reunion? If so, please describe briefly below.

All: Please tell us anything else that we should know to help make your stay pleasant and the reunion a memorable experience below.

Thank you! We hope to see you the weekend of July 10-12, 2009.