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Camp Wildlife 2004 Registration Form (page 1 of 2)
Please print this form, complete one application per camper, and
mail it with a non-refundable $50.00 deposit to:
Camp Wildlife
435 Cougar Lane
Ellijay, GA 30540
Phone 706-276-2980
Camper Name ____________________________________________
Home Phone ( )_________________ Wk ( )__________________
Address _________________________________________________
City _____________________________ State______ Zip _________
Age ____ Birthday __/__/___ Religion___________________________
Male
____ Female ____
Member of E.W.R.S.? ___Y ___ N
Note: If yes, you may deduct $50 from camp fee for overnight
camp.
___I would like to become a member of the Ellijay Wildlife
Rehabilitation Sanctuary. Enclosed is a ___ $35 single donation
or a ___ $50 family donation (please check one). All memberships
are annual. Memberships include four free Family Day visits (June
through September) and discounts on tours, nature store and camping.
|
Camps 2003 |
Ages |
Dates |
Member
Rates |
Non-
Member
Rates |
|
___ Cub
Camp |
08 – 09
years |
June 07-11 |
$400 |
$450 |
|
___ Jr.
1 Camp |
10 – 12
years |
June 14-18 |
$400 |
$450 |
|
___ Jr.
2 Camp
|
10 – 12
years |
June 21-25 |
$400 |
$450 |
|
___ Tween Camp |
12 - 13 years |
June 28 – July 02 |
$400 |
$400 |
|
___ Family Camp |
All Ages w/ Adult |
July 05 - 09 |
$550 up to 4*
*$150 per person over 4. |
$600 up to 4*
*$150
per person over 4. |
|
___
Teen 1Camp |
13 – 16
years |
July 12-16 |
$400 |
$450 |
|
__ Teen
2 Camp |
13 - 16
years |
July 19-23 |
$400 |
$450 |
|
See next
page for Total Due $ |
(Application continued on
page 2
 )
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Print page