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"Gathering of the Clans" Family Camp and Resort Registration Form Aug 12-16
Camp Royaneh
4600 Scanlon Rd
Cazadero, CA 95421
PRE CAMP PRICES
(sign up and pay in full by Aug 9th
-Adults (age 17 and up): $41/day
-Adolescents (12-16): $33/day
-Children (age 3-11): $28/day
-2 and under: Free
Before
filling out this form it is important that you
read and review the following documents:
-Camp Letter & Information
-Medical Waver Form
-Code of Conduct
Pre-Camp Prices Unil Aug 10th. Sign up now!
NEW:
Families need only pay for a maximum of 3 school age children. Use the paper registration form if you qualify for this special pricing.
Form Login Account (optional)
New Users / Returning Users
CLICK HERE
to setup or return to your account for this form. Creating an account enables you to return to this form and your submitted results. An account will also enable you to partially complete this form and return later to finish the form. The account you establish is only for this form.
Family Name & Contact Information
Last Name
*
Phone
*
Alternate Phone
Email Address
*
Participant Information
Notes:
Attendee's
"Last Name"
only needs to be entered if different than the family name above.
"Catagory"
is used for determining daily stay rates.
"Age"
is only needed for non-Adults. And please click on the
"Calculate"
button after entering or change data on each line.
First Name
Last Name
Category
🛈
17yrs-Up
12-16yrs
3-11yrs
Up to 3
Age
🛈
Sex
M
F
Grade in Sept
pre-K
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
College
Adult
Days Attending
*
We/Th
Th/Fr
Fr/Sa
Sa/Su
Attendee 1
0.00
Calculate
First Name
Last Name
Category
17yrs-Up
12-16yrs
3-11yrs
Up to 3
Age
Sex
M
F
Grade in Sept
pre-K
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
College
Adult
Days Attending
We/Th
Th/Fr
Fr/Sa
Sa/Su
Attendee 2
0.00
Calculate
First Name
Last Name
Category
17yrs-Up
12-16yrs
3-11yrs
Up to 3
Age
Sex
M
F
Grade in Sept
pre-K
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
College
Adult
Days Attending
We/Th
Th/Fr
Fr/Sa
Sa/Su
Attendee 3:
0.00
Calculate
First Name
Last Name
Category
17yrs-Up
12-16yrs
3-11yrs
Up to 3
Age
Sex
M
F
Grade in Sept
pre-K
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
College
Adult
Days Attending
We/Th
Th/Fr
Fr/Sa
Sa/Su
Attendee 4:
0.00
Calculate
First Name
Last Name
Category
17yrs-Up
12-16yrs
3-11yrs
Up to 3
Age
Sex
M
F
Grade in Sept
pre-K
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
College
Adult
Days Attending
We/Th
Th/Fr
Fr/Sa
Sa/Su
Attendee 5
0.00
Calculate
First Name
Last Name
Category
17yrs-Up
12-16yrs
3-11yrs
Up to 3
Age
Sex
M
F
Grade in Sept
pre-K
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
College
Adult
Days Attending
We/Th
Th/Fr
Fr/Sa
Sa/Su
Attendee 6
0.00
Calculate
First Name
Last Name
Category
17yrs-Up
12-16yrs
3-11yrs
Up to 3
Age
Sex
M
F
Grade in Sept
pre-K
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
College
Adult
Days Attending
We/Th
Th/Fr
Fr/Sa
Sa/Su
Attendee 7
0.00
Calculate
First Name
Last Name
Category
17yrs-Up
12-16yrs
3-11yrs
Up to 3
Age
Sex
M
F
Grade in Sept
pre-K
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
College
Adult
Days Attending
We/Th
Th/Fr
Fr/Sa
Sa/Su
Attendee 8
0.00
Calculate
_______________________________________________________________________
Additional Fees
Optional Cabin Fees ($15 per person / night)
Cabin Requests
Cabin
Bunk House
People
1
2
3
4
5
6
7
8
Nights Stay
Wed/Thur
Thur/Fri
Fri/Sat
Sat/Sun
Total Additional Cabin Fee
0.00
Calculate
___________________________________________________________
Registration Fee
Family Camp Registration (Early registration before 7/6)
*
_________________________________________________________
Important Information
Enter your initials here to affirm that all members of your family have read and agree with the rules of the camp as laid out in the Code of Conduct.
*
Release and Waiver of Liability and Indemnity Agreement
*
I have filled out and completed the Release and Waiver form
Waiver Form
Camp Scholarship Code
You can save your application now so you make changes later by going to the "Form Login Account" above and clicking on "Click Here". Or you can click on the "Continue" button below to either use PayPal to pay by credit card or use the option to pay by check later.
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