Camp Tamarack - An American Baptist Churches of Wisconsin mission.

Camp Tamarack
E879 Golke Road
Waupaca, WI 54981
Phone 715-258-2267
Carolyn Dugan, Director
Phone 715-281-2267
carolyn.dugan@abcofwi.org
     

Summer Camp Registration Form

Please complete all fields of the form below to register for one of this summer's youth camps.

NAME: First:
  Last:
ADDRESS: Street:
  City:
  State:
  Zip Code:
PHONE Home: Area Code: Number
  Work: Area Code: Number
  Cell: Area Code: Number
E-MAIL ADDRESS (Yours):
CAMPER INFORMATION Age:
  Birth date:
  Sex: Female Male
  Grade Just Completed:
PARENTS/GUARDIAN NAMES: First::
  Last:
  Relationship
PARENTS/GUARDIAN NAMES: First:
  Last:
  Relationship
CAMP Choose One: Primary:  June 17-20                        (Cost - $130.00)
    Middler:  June 17-23                        (Cost - $225.00)
    Junior:   June 24-30                         (Cost - $235.00)
    Junior High:    July 1-7                     (Cost - $235.00)
    Senior High:  June 10-16                  (Cost - $235.00)
    Young In Heart:  June 4-7                 (Cost - $90 or $115)
    All Inclusive Camp:  July 8-14         ($30 per person/day)
    Family Camp - July 8-11               (Adults - $105) (kids - $80) (0-4 free)
    Pastor R&R (call for dates)              (No Cost)
I request to be in a cabin with First:
  Last:

Please Read:
Send Non-Refundable $30 Deposit fee to:
Camps, American Baptist Churches of WI
15330 Watertown Plank Rd.
Elm Grove, WI 53122-2391.
Please be certain to identify to which camper the funds apply!

Advance fees paid (minus deposit) are refundable upon cancellation notice to office received one month prior to start of camp. Total amount due is required at time of registration, including church portion.

Now Either or the form.

on 2/6/2012
 
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