Camp Michawana Family Camp Registration July 20 - 26
Begains Friday July 20 7PM end July 26 after breakfast

Family Name/Last Name ________________________________ First Name of Adults ____________________________                 
Address _________________________________ City _______________________ St ____ Zip ___________

Phone(s) __________________________________ E-Mail _______________________________________________

Name of 1st child ________________________ age ____      Name of 4th child ________________________  age ____

Name of 2nd child _______________________  age ____      Name of 5th child ________________________  age ____

Name of 3rd child ______________________   age ____      Other __________________________________________

Housing (includes Program)  RV Campground Site (tent or RV) $45.00 a night per family or Cabins $60.00 a night per family
Please check the nights you plan on staying
Friday ____  Saturday ____ Sunday ____ Monday ____ Tuesday ____ Wednesday ____
Program includes all sessions & activities, such as climbing wall, zipline, archery, water front, and crafts



































Camp Michawana
Copyright 2010: Camp Michawana | Michigan RV Parks. All Rights Reserved.


Lunch
Please let us know the number for lunch selected
    Adults 12 & up   $8.00 per person
    Children 4 - 11 $7.00 per person
    Age 3 and under Free

Sat ___ Sun ___ Mon ___ Tues ___ Wed ___

Tons of Activities Each Day
  Friday: Family Camp Kick-off at 7 PM - Hayride & Bonfire

  Saturday: Amazin' Race!!

  Sunday: Old Fashioned Hymn Sing - Ice Cream Social

  Monday: Water Carnival

  Tuesday: Mini Triathon, Big Screen Movie

  Wednesday: Potluck, Concert, Hoe Down

  Thursaday: Create Your Own Pancake Bar

Family Camp
Housing/Program Cost   ______ X ________  = $ ________
             Nights  X  Site Type
Lunch   Adult meals _________  X $8.00       = $ ________               Childern meals _______  X $7.00       = $ ________
                     TOTAL COST   $ ________                        LESS DEPOSIT                        $ 100.00   
                 Balance Due on Arrival           $ __________

Send Check or credit card info with deposit of $100.00 ASAP
Credit Card # _____ _____ _____ _____ Exp Date _______        sec code _____  Amt $ __________ 

Signature ______________________________  Date ____________
Important - If any changes arise in dining hall meals counts please notify the office or trading post 24 hours in advance.

In the event of illness or injury, you/your parents are completely responsible for any necessary treatment and cost incurred. Camp holds only the secondary coverage status.
In consideration of Camp Michawana accepting and permitting us to attend camp and participate in camp activities I hereby release an agree to indemnify and hold harmless Camp Michawana a non-profit corporation, its trustees, officers, employees, agents, and volunteers from any and all claims arising from such participation.  In signing this document, I hereby certify that the above information is correct.

____________________________________________________________  Date ____________________
           Signature (Head of Household)

Upon receipt of this completed form and your deposit, we will hold your spot and mail a receit confirmation.
Mail this form to Camp Michawana, 5800 Head Lake Rd,  Hastings, MI 49058 or fax to 269 623 5168