Main Contact InformationNameAddressCity/State/ZipPhoneEmailAdults (Ages 12 & up) How many? Total Adults' NamesJuly 1-3 - Flat Fee3 days w 6 meals & all Activities x$90 July 1 - DailyActivities, 2 meals x$30 July 2 - DailyActivities, 2 meals x$30 July 3 - DailyActivities, 2 meals x$30 Subtotal: Children (Ages 5 - 11) How many? Total Children's NamesJuly 1-3 - Flat Fee3 days w 6 meals & all Activities x$55 July 1 - DailyActivities, 2 meals x$19 July 2 - DailyActivities, 2 meals x$19 July 3 - DailyActivities, 2 meals x$19 Subtotal: Birth to 4 How many? Total Names & AgesFree x$0 Subtotal: Total: $0Check this box to use the ImmediateFamily maximum of $290 Optional Added Donation: Thank you! $Grand Total: $0Check this box if anyone in your group has medically necessary dietary restrictions. You must contact Barb Kass (head cook) directly no later than June 15 to discuss your meal needs: anathoth@lakeland.ws or 715-554-3971 Check this box if everyone registered agrees to stay home if they are ill or leave Camp if they begin to feel ill. Fun! Mark an x if you would like to give a 1-minute talk at one of the evening entertainments (Day TBD). Some tips will be sent to you. Payment Method (choose one) I will mail a check I will pay now via PayPal or Credit/Debit card