Family Camp Registration 2023

Fees: We offer two options — full participation and daily plan. 
Full participation fees are shown in the gray grids below. Use them if campers wish to attend all 3 days.
If campers wish to attend 1 or 2 days, use the white sections of the grid.

Note: We are keeping the fees the same as last year despite increased costs. Please consider making a
donation below to help offset these increases and keep fees affordable in the future.

Online Registration Form

Main Contact Information
Name
Address
City/State/Zip
Phone
Email

Adults (Ages 12 & up)		How many?		Total	Adults' Names
July 1-3 - Flat Fee	Full Participation	(closed)	x$90
July 1 - Daily	Daily Fee, 2 meals	(closed)	x$30
July 2 - Daily	Daily Fee, 2 meals	(closed)	x$30
July 3 - Daily	Daily Fee, 2 meals	(closed)	x$30
	Subtotal:

Children (Ages 5 - 11)		How many?		Total	Children's Names
July 1-3 - Flat Fee	Full Participation	(closed)	x$55
July 1 - Daily	Daily Fee, 2 meals	(closed)	x$18
July 2 - Daily	Daily Fee, 2 meals	(closed)	x$18
July 3 - Daily	Daily Fee, 2 meals	(closed)	x$18
	Subtotal:

Birth to 4 and 100+		How many?		Total	Names & Ages
Free			x$0
	Subtotal:

Total:					$0
Check this box to use the Immediate Family maximum of $250
Added Donation: Thank you! Your contribution helps keep fees affordable as we face rising costs.					$
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 here agrees to abide by the Protocol outlined in the Brochure
Payment Method (choose one)		I will mail a check		I will pay now via PayPal