Camp Gitchigomee Application Form 2018

Use one form per camper. Please send payment with camper's name, for all campers to Camp Gitchigomee Registrar P.O. Box 29018 Thunder Bay ON P7B 6P9

Camper's Name*

First Last

Birthday*

MM

DD

YYYY

Gender*

Male
Female

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

Mother's Name

First Last

Father's Name

First Last

Guardian Name

First Last

Emergency Contact Name*

First Last Phone

Use the age the camper turns this year to select camp week:*

Senior Camp (Ages 13-15) July 7 - 13 $250 ($225 before June 1, 2019)
Junior Camp (Ages 7-9) July 14 - 20 $250 ($225 before June 1, 2019)
Intermediate Camp (Ages 10-12) July 21 - 27 $250 ($225 before June 1, 2019)

Please try to put me in a cabin with

Please, make cheque payable to “Camp Gitchigomee” and mail to the address given above.

Registration will not be complete until payment is made to Camp Gitchigomee

Please send registration fee (Cheque or money order. No cash, please.) to mailing address at the top of this document. Please be sure to include the camper's name(s) with the payment. Information is collected for the purposes of registering this child at the appropriate camp week. Other information to be collected includes: health information, enrolment agreement, alternate contacts for emergency purposes. This information will be stored in paper files for the duration of the current camping season. Only name, address and telephone number will be retained for the purpose of advertising future camp events. Statistical information will not identify any individual and is used for the purpose of annual reports.

Camp Gitchigomee Application Form 2018

Registration will not be complete until payment is made to Camp Gitchigomee

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