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Camper Name
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Date of Birth
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Gender
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Nickname
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Grade in School this year
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Age as of child in June of this year
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Traditional Sessions Speciality Sessions
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Session(s)
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Dates
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to |
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Camper E-mail
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Returning Camper
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Yes No |
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Primary Adult Contact(s) i.e. Parent(s)/Guardian(s)
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Name(s)
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Home Phone
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Address
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City/Town
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State/Prov.
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ZIP/Postal Code
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Country
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E-mail
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Cell and/or Work Phone
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I/We would like to receive our Friends Camp Invoice by e-mail and we will get the 2010 Camper Parent Handbook and the health forms from the camp’s web page.
(If you check this item, you will not receive a session confirmation and informational packet by snail mail, but you will get an invoice with the session confirmation by e-mail in a few days.) |
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Second Home Parental Contact (Optional)
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Name
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Home Phone
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Address
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City/Town
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State/Prov.
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ZIP/Postal Code
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Country
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E-mail
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Cell and/or Work Phone
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I have read the Friends Camp policies and agree to abide by these rules, fees, and deadlines. I also give Friends Camp (New England Yearly Meeting) permission to use my child’s photo or likeness. |
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Religious Affiliation (if applicable)
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Name of Friends Meeting
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Please check the box on the left AND fill in your amount on the right:
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Deposit ($200) or tuition payment for Jones, Dyer, Fox, Fell, & Drama Camp: $760 |
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Payment for Fell Camp Baxter State Park Fee $40 |
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To get the early bird savings we are paying the full fee of $740 (or $385 for 1 week camp) prior to January 31, 2010 |
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Stay over fee between sessions at Friends Camp for: July 10 July 24 August 7 $100. |
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The bus ride fee from camp to Smithfield, RI on August 7, 2010 is $90. |
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Donation to the Campership Fund |
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Donation to Capital Improvements |
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Donation for general support |
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Portland ($60) or Augusta ($30) Van ride fees – Dates |
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Friends Camp short sleeve t-shirt $10* |
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Friends Camp long sleeve t-shirt $12* |
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Friends Camp green hooded sweatshirt $24* ( Small, Medium, Large or Xtra Large ) |
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Friends Camp sweatspants $24* ( Small, Medium, Large or Xtra Large ) |
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Free Friends Camp bumper sticker ! |
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(Please tally up, enter your total here, and take note of the amount for use on the PayPal payment page or for your payment check.) TOTAL $ |
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* If you pay in advance for your t-shirt or for your sweatshirt, you will be able to pick your size & color on the first day of camp.
The laundry fee of $6 is now included in the camp tuition.
Where or how did you hear about Friends Camp?
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Returning camper |
Friends Meeting |
House Party |
Other |
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Newspaper/Magazine |
Camp Fair |
Brochure |
Web site |
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Web search |
A friend |
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Thanks for listing any families who might be interested in knowing more about Friends Camp
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Name
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Name
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Address
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Address
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City/Town
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City/Town
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State/Prov.
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State/Prov.
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ZIP/Postal Code
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ZIP/Postal Code
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Country
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Country
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Email |
Email |
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