Camp Registration

Cost of Registration: $20.00 per adult for the entire weekend. Children ages 18 & under are free.

Name(s) (required)    

Address

City       State Zip Code

Email Address

Phone Number         ()-     Alternate Phone Number     ()-

Total Attending: Number of Adults Number of Children

Enter the names you would like to have printed on your name badges:
Badge 1:         Badge 2:
Badge 3:         Badge 4:
Badge 5:         Badge 6:

We must have your vehicle tag number in order for you to enter the park:
Vehicle 1 Tag:         Vehicle 2 Tag:
Vehicle 3 Tag:         Vehicle 4 Tag:

We would like to use the Jack Ferguson Scholarship Fund:  Yes No

We would like to contribute to the Jack Ferguson Scholarship Fund:  Yes No

Registration Fees Due ($20 per adult):
Jack Ferguson Scholarship Donation:
Total Amount:

Subject

Additional Information:

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Please enter the code above and click the send button below to send your registration. We look forward to seeing you!