I have been a camper at Circle K for ________ years.
Yes, I have enclosed the non-refundable registration fee. $50 for week/ $35 for alumni weekend.
Registration Check #__________
The balance of $120 for week camp and/or $50 for Alumni weekend will be due at check in.
1st choice
Directions:
First, please read "About Registration".
Then, please complete this form.
Check the week that matches your grade.
Please include a 2nd choice in case of overflow. Remember, grade entering fall of 2013.
2nd choice
Camper Registration Form
Please print this form and mail it, with your
non-refundable
registration fee to:
Circle K Camp Registration
151 Moyer Station Rd
Schuylkill Haven, PA 17972
"Alumni weekend"...June 7-9
Grades 11-12
Grade 8.....July 1-5
Grade 7.....June 24-28
Grade 9.....July 15-19
Grade 10...July 22-26
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Name
Address
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State
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Parents Names
Phone
One friend you would like to room with
(We will do our best)
Parents E-mail
Gender
Grade in
Fall of 2013
Female
Male
Grade 6.....June 17-21