Go to: CampOUT Payment Merchant Registration La Garou home CampOUT home
CampOUT 2009
July 9th thru the 12th
Registration
Please submit one form per person
attending.
You can copy and paste this form into an Email!!
Legal Name_________________________________________________________________________________
Last
First
Name_________________________________________________________________________________
Address_______________________________________________________________________________
Street
________________________________________________________________________________
City
State
Zip
Email Address_______________________________________________________________________________
Dietary Restrictions___________________________________________________________________________
Admission:
Admission price includes all camp fees, meals and firewood (if you cut it yourself
it's free, or you can buy it from Long Fork). Advance registration must be postmarked
before the due date.
( ) Full camp, arrive after 9:00am Thursday, leave Sunday $125.00
( ) Weekend camp, arrive Friday, leave Sunday $100.00
( ) Volunteer, Full or Weekend
AMOUNT ENCLOSED
Make Money Orders, and Cashiers Checks payable to: La Fraternité du
Loup-Garou
AMOUNT PAID VIA PAYPAL--LAGAROU@HOTMAIL.COM
If paying via PayPal you still need to submit a registration form
Mail to: La Fraternité du Loup-Garou, PO Box 140713, Toledo, OH 43614
Return to:
La Garou home CampOUT
home