Unirondack 2010 Online Registration Form

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2010 Summer Registration Form

PLEASE NOTE: The following sessions now have waiting lists:

CHANNING 1 & 2
PARKER
BALLOU 1 & 2
CRANBERRY LAKE TEEN ADVENTURE TRIP
FAMILY CAMP

(to be placed on a waiting list, send us a registration form with no deposit and we will contact you if a space opens up)

Bold & Red = Required

Parent/Guardian Information

Please enter your information so that we may stay in touch with you throughout the registration process.

Parent/Guardian Name(s):

Street Address:

City/Town:

State/Prov:

Zip/PC:

New Address?Has your address changed since your last registration?

Home Phone:

Your Email:

No E-Mail? Note: We respond via e-mail. If you do not have an e-mail address, check this box.

UU Congregation (if any):

in City/State:

Refer a Friend: Please give the name and address of anyone else you think would like to receive a Unirondack brochure.

Registrations

Camper #1

Name:

Sessions [-] Remove Session
[+] Add Another Session

Date of Birth:

Age at Camp:

Grade entering:

Sex Male Female

Previous Camper?

Camper E-mail:

Camp Store Deposit:We recommend a camp store deposit of $30.00 per camper per week.

Cabin Mate Request:Please only request ONE cabin mate.

[-] Remove Camper
[+] Add Another Camper

Payment Information

Note: Using PayPal to accept Credit Card Payments has allowed us to lower the fee for the use of credit cards from $20 per session per camper to $15, although paying by check is still recommended to save you the most.

No refund of deposit after April 15. NO REFUNDS after May 31. See Instructions on last page for more details on fees, payments and completing your registration.

Payment Method: PayPal Check

Donation for: Camperships Endowment Undirected

We ask you to consider a (tax-deductible) donation to support Unirondack for now and the future. We appreciate your generosity.

Donation Amount:

PayPal Charge:Add $15 per person per session if paying by credit card through PayPal.

Total Charge:TOTAL of Fees, Camp Store Deposits, and Donation.

Campership Required?Camperships are available for campers in financial need. If you require a campership, please check the box, and fill out a campership request form (available on our website, or we can send you one). Campership applications must be received by May 1st to be considered. If you are applying for a campership, please send a deposit as you are able.

Deposit Required:DEPOSIT Sent by Check or Charged to PayPal ($200 per camper per session).

Payment AmountAmount you plan to pay upon submission of registration form.
This amount must be at least $0.00 (required deposit) to reserve your spot in a session.

Balance Due:BALANCE DUE BY MAY 1 (total charge minus payment amount)

Clicking this button will send us your registration information and redirect you to a PayPal payment gateway if you have chosen to pay by credit card.

Is Your Registration Data Correct?Before the submit button is enabled, we recommend that you review all of your entered data to make sure that it is correct. Once you have done so, check this box in order to enable the button below and submit this form.