Main Contact Information
Adults (Ages 12 & up) How many? Total Adults' Names
July 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 Names
July 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 & Ages
Free x$0
Subtotal:
Total: $0
Check this box to use the Immediate
Family maximum of $290
$
Grand Total: $0
Check 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