Everwind Ranch 2008 Barrel Camp Registration Form

Enclosed is my deposit of $_________ ($100 per participant per week) for the week of
~~June 23-27~~ FULL
July 7-11
July 21-25
(Please circle one)

Please remember July 21-25 is not guaranteed, if you send a deposit for that week
and there is not enough participation you will receive your deposit back. This deposit
return applies to that week only. All other deposits are non-refundable.

Name: _____________________________________________

Address: __________________________________________

___________________________________________________

Phone number:____________________________(required)

Camper's signature: _______________________________

(or parent or legal guardian if camper is under 18 years of age

By signing above, I certify that I am aware that there is no
camper insurance provided by Everwind Ranch and that I
must show proof of insurance coverage to be admitted
to camp.

Please print and send completed form to:

Everwind Ranch
15871 Sturgis Road
Union City, PA 16438

Your enrollment is not guaranteed until your deposit has been received.