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Please print and return to:
NAME: AGE: COST: Alumni? Years worked:
Individual’s or
Parent’s name _______________________ ____ _______ YES ( ) NO ( ) ___________
Parent’s name _______________________ ____ _______ YES ( ) NO ( ) ___________
(Please provide a maiden name or last name if different when alumni worked at camp.)
Children M/F___________________ ____ _______
M/F___________________ ____ _______
M/F___________________ ____ _______
M/F___________________ ____ _______
Address____________________________ City_________________ State______Zip code________
Phone______/____________________ E-mail address (if applicable) ___________________________
Do any family members have physical or medical limitations, which would require special housing or other accommodations or any special diet accommodations? YES ( ) NO ( ) If yes, indicate who and special accommodation required: _____________________________________________________________________
COST: Each person is charged at the following rates for the weekend:
Families: $100.00 (ages 13 and older) $75.00 (ages 6-12) $40.00 (ages 1-5)
Individuals: $100.00 (individual alumni will be housed together)
Families attending for the day only are charged at the following rates for the weekend:
Day use only: $20.00 per family, plus meal cost
Please circle which day(s) and which meals you are eating at camp below.
Saturday Sunday Monday Breakfast ($6.00/adult) ____________,
Saturday Sunday Lunch ($7.00/adult) ____________,
Saturday Sunday Supper ($8.00/person) ____________
(Children 1-12 are charged at $3.00 per meal
Amount of fee enclosed $_________. Make check payable to Wisconsin Lions Foundation. Remember to deduct $50 if sharing a cabin with another family, and to deduct any early bird deductions of your total amount if you are sending this in before June 30, 2007. Payment in full must accompany application. A full refund is provided if cancellation occurs two weeks or more prior to the session.
PLEASE READ AND SIGN BELOW:
I fully understand that after reasonable precautions are taken, there are certain hazards connected with camping and I release the Wisconsin Lions Foundation, Inc. and its Directors, Agent, and Employees from liability connected with camp activities. I also grant my permission to use photographs of myself or my family in any publication the Foundation authorizes.
Parent’s or Individual’s Signature: ____________________________________ Date: ________
WLF-WLC Alumni Association Dues Form
Please check one of the following:
_______ I/We are joining for the first time.
_______ I/We are renewing our membership
Please Check which payment you are making:
_______ Individuals first year post camp ($15.00 yearly)
_______ Individuals 2+ years post camp ($25.00 yearly)
_______ Couple who met at camp ($35.00 yearly)
The calendar year is Labor day to Labor day
Please add your dues amount to the total listed on the front of this form. That way you can write one check and the amount and renewal will be forwarded to the Alumni Association treasurer.
Why become a member?
* Provide support to new camp staff
* Sponsor came staff treat yearly
* Participation in work projects and other special events
* Connection with Lions Club in your area - share your experiences
* Assist in recruiting campers and staff for camp
And many more benefits !