Student Information:

Student Full Name
Present Mailing Address City State Zip
Phone Number 1
Phone Number 2
Email Address

Name of Parent or Guardian

Camp Information:

Have you ever attended Camp Good News? yes no

Number of years? Last attended

Church presently Attending (Optional)

Cabin buddy requested

I agree that the information included above is accurate and I agree to allow CEF to process my CGN Application Form.

Yes No