| Your Name: |
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| Street Address: |
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| City/State: |
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| Zip Code: |
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| Primary Email: |
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| Re-type Email: |
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| Alternate Email: |
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| Primary Phone: |
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| Alternate Phone: |
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| I plan to attend: |
Camp 1 June 23-28, 2008 |
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Camp 2 July 14-19, 2008 |
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Camp 3 July 28-Aug 2, 2008 |
| My lodging preference: |
I'd like to share a 3-4 bed group room in the lodge |
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I'd like a private room (if available) |
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I'll make reservations off site at a hotel |
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I'd like to rent an RV (if available) |
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I'm bringing an RV |
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I'm bringing my tent - no electric needed |
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I'm bringing my tent and NEED an electrical outlet |
| Additional family member coming with me (name): |
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| Is additional family member a minor? If so, list age: |
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| (There is a $300 fee for each additional family member) |
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| I plan to arrive for camp on (date): |
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| I plan to depart camp on (date):: |
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| My Dog's Name: |
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My Dog's Breed (or best guess): |
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| Male or female?: |
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| Intact or spayed/neutered?: |
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| My Dog's Age: |
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| My dog's level of training is: |
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I'm bringing a second dog (Yes/No) ($50 fee) : |
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| Dog's Name: |
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| Dog's Breed (or best guess): |
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| Male or Female?: |
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| Intact or Spayed/Neutered?: |
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| Dog's Age: |
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| My dog's level of training is: |
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| I am bringing additional dogs ($50 each): |
Tell us about them briefly:
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| I might want to take the Canine Good Citizen test ($10- pay at camp): |
(Yes/No) |
I might want to take the Therapy Dog Test ($10- pay at camp): |
(Yes/No) |
I might take the Temperament Test after Camp 2 ($25- pay at camp): |
(Yes/No) |
| I understand that a deposit must be paid before I am fully registered: |
(Yes/No) |
| I understand that the deposit is NOT refundable: |
(Yes/No) |
| I understand the full balance is due at least 60 days before camp: |
(Yes/No) |
| I understand funds paid within 90 days of camp are not refundable unless I find a replacement to take my spot: |
(Yes/No) |
| This is my first DSA camp: |
(Yes/No) |
| Please let us know about your camp deposit payment: |
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I have not paid my deposit yet |
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I paid it on my camp tab during camp last year |
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I paid it using the on-line store and Pay Pal |
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I mailed in the deposit |
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It was mailed on ____ date (approximate): |
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Other payment method:
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| Note: |
Be sure to click on the "submit" button below to send the information to the camp director. The submit button will also take you to the camper profile page which also needs to be completed. |
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