<p> Family Camp 2017 Registration Form</p><p>Family Name: ______</p><p>Person Name Birthday Adult #1</p><p>Adult #2</p><p>Child #1 (Under 18)</p><p>Child #2 (Under 18)</p><p>Child #3 (Under 18)</p><p>Child #4 (Under 18</p><p>Child #5 (Under 18)</p><p>Child #6 (Under 18)</p><p>Please list additional persons above the 2 adult, 6 children maximum .</p><p>Street Address: ______City: ______</p><p>Province: ______Country: ______Postal Code: ______</p><p>Primary Email Address: ______</p><p>Phone Number (Home): ______(Cell): ______</p><p>Accommodation Information</p><p>Circle/highlight the week(s) you are registering for:</p><p>Week 1: July 29-August 5 Week 2: August 5-12</p><p>Week 3: August 12-19 Week 4: August 19-26 Type Accommodation Weekly Record the Cabin Name/ Room #/ Rate Campsite # requested below: Chalet Beechwood, Cedar Rest, As $1323 u Like it, City Hall Ahmic View Daybreak, Eventide, Midday, $891 Sunset The Lodge Upper level (air conditioned) $605 The Lodge Lower level walkout $691 Pine Cabins Wyldewood, Porcupine $567 Ridge, Deer Run Full Service Cabin Maplecroft $810 Full Service Cabin Birchmere Woods/Lodge $729 Full Service Cabin Linger Long $621 Rustic Cabins Little Lookout Old Tuck, $513 Retreat Up, Retreat Lodge, Retreat Woods</p><p>Campsite With electricity $340 Campsite Without electricity $302</p><p>Optional Items</p><p># of Boat Docks Needed ($60/dock/week): ______</p><p># of Adult (Age 12 and older) All-Inclusive Meal Plans ($170/week): ______</p><p># of Child (Age 5-11) All-Inclusive Meal Plans ($85/week): ______</p><p># of Adults (12+) for Saturday Arrival Supper ($10): ______</p><p># of Children (5-11) for Saturday Arrival Supper ($6): ______</p><p>New Registration/Cancellation Policies Please read and sign below. </p><p> Accommodation prices are based on a maximum group of 2 adults and 6 children (under 18). Additional persons will be charged $5/day/person  All fees do not include HST  Each accommodation is subject to a $25 General Facility Fee per week which will be applied by the office to each registration  Accommodations can only be booked for a full week until 4 weeks prior to the camp start date. At this time, shorter stays can be arranged at the time of booking only. Campers who registered for a full week will not be refunded the difference if they leave early.  If a cancellation is necessary between September 30th 2016 and June 15th 2017 the following options exist: o The 20% deposit is deferred to a future time with no site guarantee. Payments made beyond the 20% will be refunded. o The 20% deposit is refunded less a $25 cancellation fee. Payments made beyond the 20% will be refunded. o All payments made will be donated to the Camper Assistance Fund with a donation receipt  If a cancellation is necessary between June 15th 2017 and two weeks prior to your arrival date the following options exist: o The 20% deposit becomes non-refundable and cannot be deferred. Payments made beyond the 20% are deferred to a future time with no site guarantee. o The 20% deposit becomes non-refundable. Payments made beyond the 20% are refunded less a $25 cancellation fee.  If a cancellation is necessary less than two weeks prior to your arrival date all payments made become non-refundable and cannot be deferred. If the cancellation is a result of a medical emergency or the death of a close family member, a refund will be issued at the discretion of the Director. </p><p>I have read and understand the policies listed above: ______</p><p>Payment Options</p><p>Check which applies. </p><p>______I wish to pay in full at this time.</p><p>______Please bill my credit card now for the 20% deposit only.</p><p>______Please bill my credit card now for the 20% deposit and then in 3 equal installments between now and my camp start date. Dates may vary depending on registration date. </p><p>______I will mail in a cheque for my deposit. </p><p>Credit Card Information:</p><p>Name as it appears on card: ______</p><p>Credit Card Number: ______</p><p>Expiry Date (month/year): ______CVV Code: ______</p><p>Signature: ______</p>