Alumni Camp Registration Form
2018 CHIPPEWA ALUMNI CAMP
Enrollment Form Friday, August 17 – Monday, August 20 Tuition: Adults (21+) $350
The deposit for Alumni Camp is $150. ALL PROCEEDS FROM ALUMNI CAMP GO TO CAMP FOR ALL KIDS
Last Name ________________________________
First Name ____________________________
Email Address _____________________________
Cell Phone Number _____________________
Address______________________________ City ________________ State ____ Zip Code ________ Birthdate ____/____/____
T-Shirt Size ____
Tan or White? _________ Years at CRC ___________
Cabin Requests (please list cabinmate and cabin requests):
*We will do our absolute best to honor as many requests as possible! **The newly renovated Health Center and Doctor’s Inn (both with a kitchenette) are available as Premium Cabins for an additional cost. Please contact us for more information about these cabins. I will be paying by check (please send to the address below): ______ I will be paying by credit card (please fill out info below): ______ Name on Card ____________________ Amount to Charge ______ Card Number _______________________ Expiration Date ______ Billing Address (if different than above) ______________________ ________________________________________________________ Please fax, email or mail this form with your deposit to secure your enrollment. [email protected] - Fax: 866-322-5220 - Phone: 866-209-9322 Winter: 1402 Sheridan Road, Highland Park, IL 60035 - Summer: 8258 County O, Eagle River, WI 54521
Enrollment Form Friday, August 17 – Monday, August 20 Tuition: Adults (21+) $350
The deposit for Alumni Camp is $150. ALL PROCEEDS FROM ALUMNI CAMP GO TO CAMP FOR ALL KIDS
Last Name ________________________________
First Name ____________________________
Email Address _____________________________
Cell Phone Number _____________________
Address______________________________ City ________________ State ____ Zip Code ________ Birthdate ____/____/____
T-Shirt Size ____
Tan or White? _________ Years at CRC ___________
Cabin Requests (please list cabinmate and cabin requests):
*We will do our absolute best to honor as many requests as possible! **The newly renovated Health Center and Doctor’s Inn (both with a kitchenette) are available as Premium Cabins for an additional cost. Please contact us for more information about these cabins. I will be paying by check (please send to the address below): ______ I will be paying by credit card (please fill out info below): ______ Name on Card ____________________ Amount to Charge ______ Card Number _______________________ Expiration Date ______ Billing Address (if different than above) ______________________ ________________________________________________________ Please fax, email or mail this form with your deposit to secure your enrollment. [email protected] - Fax: 866-322-5220 - Phone: 866-209-9322 Winter: 1402 Sheridan Road, Highland Park, IL 60035 - Summer: 8258 County O, Eagle River, WI 54521
