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Please read the
REGISTRATION POLICIES
before sending in this completed form.
DO NOT MAIL BEFORE
FEBRUARY 1st
Please do not use this form to register for the Awestruck Weekend. Please go to
http://www.awestruckfestival.com/
to register.
TO REGISTER, PRINT, COMPLETE and
MAIL THIS
FORM
| Name__________________________________________________ |
| Sex__________ |
2007-2008
Grade Level_________ |
| Age__________ |
Date of Birth_____/_____/______ |
| Address_______________________________________________ |
| City/State/Zip___________________________________________ |
| Home Phone
(______)____________________________________ |
| Home E-mail
___________________________________________ |
| Parent/Guardian_________________________________________ |
| Home
Congregation______________________________________ |
| City of Home
Congregation________________________________ |
CAMP SESSION DESIRED:
("Session 4" or "Village G")
| First
Choice____________________________________________ |
| Second
Choice__________________________________________ |
| Third
Choice__________________________________________ |
| Request
Cabin-Mates_____________________________________ |
| Other
Requests__________________________________________ |
Mail this form along
with a $50 deposit for midweek programs to:
CAMP
LAKEVIEW
13500 W. Lake Road
Seymour, IN 47274
OFFICE USE ONLY |
| Session
Dates_____________________________________ |
| Deposit
Received__________________________________ |
| Date
Received____________________________________ |
REGISTRATION
INFORMATION
Campers’ grades are
determined by their grade level during the 2007-2008 school year.
Enclose a $50 deposit per
camper for most programs. Balance is due upon arrival. If you cancel at least 14 days
before the scheduled program, all but $25 will be refunded.
Enclose a $15 deposit per
person for all weekend programs ($30 total for a child and adult).
Campers are placed in cabins according to
sex first, then roommate preference, and finally by age.
Because our cabins can house 10 campers,
groups of friends consisting of 6-9 campers are difficult to accommodate and may by split
into two smaller groups for housing purposes.
If you are willing to accept
them, please
list a second and third choice of camp program.
Upon receipt of your registration, Camp
Lakeview will send a health form and a letter of confirmation.
Print out the form above and mail with deposit to Camp
Lakeview.
For further information or to receive
additional forms, call the camp office at 812-342-4815.
NON-DISCRIMINATORY
Rules for acceptance and
participation in our programs are the same for everyone without regard to race, color,
sex, age, handicap, or national origin. Any person who believes he or she has been
discriminated against in any USDA-related activity should write to: Secretary of
Agriculture, Wash., D.C. 20250.
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