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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

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