Council Event Registration
Discover Discovery     $20 Per Attendee
4/23/2010 Thru 4/24/2010

About the event: This overnight is open to all current 5th graders and their leaders and parents. Check out the new possibilities open to you in Discovery next year and have a great overnight at Camp Killoqua!
Time: 5:00 p.m. Friday to Saturday afternoon
Location: Killoqua

Please complete the following registration form, keep in mind that you may not use all the fields.  We may not be able to process incomplete forms.

Adult's Name:     Gender:
Street Address:
City, State:
Zip Code:
Phone Number:
E-mail Address:
Youth One:     Gender:    Grade:
Youth Two:     Gender:    Grade:
Youth Three:     Gender:    Grade:
Number of Youth
Camp Fire Members:
Cabin Mate: If an overnight event you may request ONE person as a cabin-mate.  They should also request you.  In the event that more than one person is requested we will assign housing as best-fit.
Candy Currency: Name:      $
Seabucks: Name:      $
Comments:

All filled out?  You now have two options:

To pay by cash, check, or money order
Print this page and include it with your payment.  Mail it to the address above, or drop it off in person.  Please do not click "submit," as this will duplicate your registration.

I agree and consent to the taking and use of any photograph of my child or myself by Camp Fire USA and waive any claims of compensation for such use or damage.
Signature: ______________________________________________________________


To pay by Visa, Mastercard or Camp Fire Candy Currency
Press "submit" and complete the payment page.  Be sure to press "purchase" when done!
By pressing "submit," I agree and consent to the taking and use of any photograph of my child or myself by Camp Fire USA and waive any claims of compensation for such use or damage:

    

 

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