October 3, 2024

First Name *

Last Name *

Church Name (For Seating Arrangement): *

Church City

Address 1st Line *

Address 2nd Line

City *

State *

Postal Code *

*

Personal Address

Church Address

Phone *

Email Address *

Please check the box below to acknowledge your desire to reserve.

Please note: Reservations made after September 30, 2024 are for entertainment only. *

On or Before September 30, 2024 Price: $30

After September 30, 2024 Price $20 - no meal

Please enter the total number seats you want to reserve. All individual reservations with the same church will be seated together.

To pay by check, mail to:

          Highland Lakes Camp
          Attn: Senior Adult Day
          5902 Pace Bend Road N
          Spicewood TX 78669

Payments by check must be received by September 30, 2024 to guarantee meal.

Enter total number attending $30

Please enter the total number seats you want to reserve for your group. All individual reservations with the same church will be seated together.
Note: THIS RESERVATION IS FOR ENTERTAINMENT ONLY (no MEAL!)
To pay by check, mail to:

          Highland Lakes Camp
          Attn: Senior Adult Day
          5902 Pace Bend Road N
          Spicewood TX 78669

Enter total number attending $20

How would you like to pay?

Please make sure you are ready with your credit card to complete your payment.
If paying by check, ensure that your payment will be received before September. 2024 to guarantee your meal(s).
*

Pay By Check

Pay By Credit Card. A 3.7% process fee is included.