register.html

In order to complete your on-line registration, you must do the following:

1. Complete the registration form below.

2. After filling out the form AND before submitting it,

please PRINT the form for your own records.

3. After Submitting your Registration, pay for your registration by

selecting the items that you submitted on the Registration Form.

If you prefer to pay directly to LOMT, you will need to go to the

printable registration form and mail it with your payment.


Click Here to PRINT Day Long & Movie Night Program mail-in form

Complete one form per camper per session.

(all required fields are marked with an*)


LOMT
2017 Club Connect Registration Form
Camper's Name: First*
Last*
Parent's/Guardian's Name:*
Spouse's Name:
Home Mailing Address:*

Home City:* State:* Zip:*
Home Church and City:
Camper's Birthdate: Mo.*
Day* Year:*
Gender:*

Grade in school as of 9/2016:* Daytime Phone:* ( ) -
Cell Phone: (
)- Evening Phone: ( )-
E-Mail address:*

I request confirmation packet by*

NOTE: If you do not have an e-mail, enter the camper's first and last name in the e-mail field.

PAYMENT:

I authorize payment to be charged to my credit card as indicated below*.





      

Registration for (check boxes that apply)*:

What Month will the camper attend

October
November
December
January
February
March
April
May

Number of days per week




What day(s) the camper will attend
Mondays
Tuesdays
Wednesdays
Thursdays
Fridays

Singles Day
Month

Days (Dates)

December 9, 2016 Movie Night ($7) 7:00PM - 9:00PM

February 3, 2017 Movie Night ($7) 7:00PM - 9:00PM

March 13-17, 2017
Week Long Program ($142 - $119 For After School Program Participant)

April 7, 2017
Movie Night ($7) 7:00PM - 9:00PM
April 13, 2017 Day Long Program ($27 - $22 For After School Program Participant)
April 17, 2017      Day Long Program ($27 - $22 For After School Program Participant)

Please Print a copy of this Registration Form for your records
before you submit it!



To contact the LOMT Registration Office:
Mailing Address: P.O. Box 457, La Grange, Texas 78945
E-mail Address: registrar@LOMT.com
Telephone Local: 979-968-1657
Toll Free: 800-362-2078
Fax: 979- 968-1658

 

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Associated Sites

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Lutheran Outdoors Ministry of Texas
P O Box 457
La Grange, Texas 78945
1-979-968-1657
1-800-362-2078
fax 1-979-968-1658
lomt@lomt.com
2016 Camp Lone Star Rd
La Grange, Texas 78945
1-979-968-1657
1-800-362-2078
After Hours 903-357-3036
lonestar@lomt.com

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All Rights Reserved

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