Missouri Camper Profile

Camper Profile for Missouri Camp

Please submit the following information.  It will go to the Missouri camp director.

Some of the info is a repeat, please bear with us and include the info again.

Your Dog's Name:
Your Full Name:
Name you prefer on your name tag:
Are you male or female?
 (It's hard to tell from some names):
Is your dog male or female?:
Is your dog spayed or neutered?:
No smoking is allowed in any of the buildings at camp. Smoking is only allowed in designated areas. Will you abide by this regulation?  Yes or No
Camp Wonderland does not allow alcohol on the premises. Will you abide by this regulation?  Yes or No
Do you have any special dietary requirements? If yes, please explain:
Do you have any special health considerations?:
How old are you?:
When will you be arriving? (date & approximate time):
When will you be leaving? Sunday night after awards or Monday morning (3 nights lodging is included in camp fee – extra night stay will be $25.00/person):
Your street address:
City/State:
Zip Code:
Phone:
Email:

PRINT THIS PAGE FOR YOUR RECORDS
Your deposit is non-refundable.
YOU MUST provide a Health Certificate for your dog(s) to attend camp showing up-to-date inoculations, heartworm check, fecal exam and overall general health. Camper Profile and Health Certificate must be received by April 1, 2009. Mail the Camper Profile and Heath Certificate to Judy Harris, Camp Director, 116 Chevy Chase Lane, New Bloomfield, MO 65063.

NOTE:
We will not have access to a credit card machine to settle up the camp tabs at the end of camp. You will need to make sure you have cash or check for the items you purchase from the camp store, auction items or extra nights lodging.

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