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60th Anniversary Registration [Home Page]

Event fee includes lunch and day of admission with a maximum of $50.00 per immediate family. Overnight accommodations and additional meals are available for the fees listed below and must be reserved online. Your online registration will only be considered complete after full payment is received. The event goes on rain or shine. All day event payments are nonrefundable.

*Name:

Address:
City: St: Zip:

Home Phone: Work Phone: Cell Phone:

E-mail Address:

Church:



*Emergency Contact: (Not living in the home)

Home Phone: Work Phone: Cell Phone:


Special Dietary Needs:

How are you connected to John Knox Center?


Please list the names of all adults, 11 years and over, who will be attending.

Total cost for adults ($15.00 per adult) $

Please list the names of all children, 0-10 years old, who will be attending.

Total cost for children (4-10 years of age $5.00, No charge for children 0-3) $

Please select your preferred overnight accommodations for Friday night. Spaces reserved on a first come first served basis. Overnight guests may either choose to reserve an entire cabin or dorm room. Cabins sleep 8 in bunk beds and dorm rooms sleep 4 in 1 bunk bed and 2 twin beds. Restrooms are included in all Dorm rooms, all B cabins, Cabin C4 and Cabin C5. Cabins C1, C2, C3 utilize a shared bathhouse. Check In time for all buildings is 5:00 p.m. Overnight reservations must be made by June 10th. Fees will be refunded less a $20 processing fee until June 1st.

I do not need overnight accommodations.

I would like to reserve a B Unit Cabin, sleeping up to 8 ($100 per room per night) $

I would like to reserve a Dorm room, sleeping up to 4. ($75 per room per night) $

I would like to reserve Cabin C4 or C5, sleeping up to 8 ($100 per room per night) $

I would like to reserve Cabin C1, C2, or C3, sleeping up to 8 ($85 per room per night) $

I would like to camp on 2nd Peninsula. ($6 per guest per night) $

Event fee includes cookout lunch on Saturday June 13th. Additional meals can be added to your group's reservation. Please select additional meals below for both adult and children.

I do not need additional meals.

Adult Friday dinner, hot dog cookout with two sides & s'mores over a fire ($8 per adult) TOTAL $

Child Friday dinner, hot dog cookout with two sides & s'mores over a fire ($6 per child) TOTAL $

Adult Saturday breakfast ($8 per adult) TOTAL $

Child Saturday breakfast ($6 per child) TOTAL $


*Total Amount Due:

*Method of Payment:

*Amount Paying Today:


I agree to abide by the terms and conditions and acknowledge the information stated on this form is complete and correct.

By signing or typing my name below, I agree that this electronic signature is valid. I understand that an electronic signature is legally binding in Tennessee.

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Please verify all information on this page then click FINISH & Pay Now. Questions? Call (865) 376-2236.

John Knox Center
591 West Rockwood Ferry Road
Ten Mile, TN 37880
Phone: (865) 376-2236
Fax: (865) 376-1719
Email: admin@johnknoxcenter.org
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