YMCA Camp Hi-Rock Alumni Reunion Registration Form

YMCA Camp Hi-Rock Alumni Reunion Registration

AUGUST 30 - SEPTEMBER 2, 2013
RE-CONNECT

WITH EACH OTHER

RE-CONNECT WITH CAMP
When: Friday, August 30 - Monday, September 2, 2013

(Friday dinner - Monday brunch)

Busy Weekend? One and two night reservations and a day rate are available.

Who: All alumni are welcome, come alone or bring the family. Attendees under 18 years old must be accompanied by a parent or guardian.

How: Please return this registration form to Camp Hi-Rock. A $75 deposit reserves your space. Please include either a personal check or credit card information.
- Name:
- Home Address:
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip CodeCountry
- Home Phone
  
  Area CodePhone Number
- Cell Phone
  
  Area CodePhone Number
- E-mail
- Lodging information:
  
  Please use the spaces below to provide us with information that will help us assign you to housing near your friends with whom you would like to reunite and whose “reuniting style” will match yours. We will do our best to honor housing requests and needs but cannot guarantee that we will be able to do so within the confines of the housing we have available. **Lodging is camp style which may include sharing cabins with individuals outside of your family/group (depending on attendance) and for most attendees will include housing in a separate building from the bathroom. Assignments will be made on a first come first served basis with consideration of “reuniting style”.** Please have all requests in by July 15, 2013.
- Please list anyone with whom you would like to SHARE a cabin/room:
- Please list anyone who you would like to be NEAR:
- Please select a reuniting style:
  
  Other
- Housing related special needs:
- Please list any dietary concerns (vegetarian, allergies, etc.):
- I attended Hi-Rock during the following years:
- Please include anyone in your group OTHER THAN the person listed above.
- Name
  
  First NameLast Name
- Birth Date
  
  MonthDayYear
- E-mail
- Phone Number
  
  Area CodePhone Number
- Name
  
  First NameLast Name
- Birth Date
  
  MonthDayYear
- E-mail
- Phone Number
  
  Area CodePhone Number
- Name
  
  First NameLast Name
- Birth Date
  
  MonthDayYear
- E-mail
- Phone Number
  
  Area CodePhone Number
- Name
  
  First NameLast Name
- Birth Date
  
  MonthDayYear
- E-mail
- Phone Number
  
  Area CodePhone Number
- Arriving (date and time):
  If there are different arrival dates or times within your group, please contact camp to confirm them.
- Departing (date and time):
  If there are different departure dates or times within your group, please contact camp to confirm them.
- The rates below include lodging, meals (meals available: Friday dinner - Monday Breakfast) and all activities except for water skiing which will be paid for at camp at $10 per run. All registrations must include a $75 deposit. Payment in full must be made by August 30, 2013.
  
  3 Nights:
  
  Adults: $250
  
  Children 12-17: $100
  
  Children 6-11: $80
  
  2 Nights:
  
  Adults: $200
  
  Children 12-17: $80
  
  Children 6-11: $60
  
  1 Night:
  
  Adults: $100
  
  Children 12-17: $40
  
  Children 6-11: $30
  
  Kids under 6 years old are FREE!
- Total Adults
- Total Kids 12-17
- Total Kids 6-11
- Total Kids Under 6
- Total number of nights:
- Total registration fees:
  Please add all of the fees for your group.
- Please choose your payment method (VISA/Mastercard/Check only):
- Card Type (please choose one):
- Should be Empty:

YMCA Camp Hi-Rock Alumni Reunion Registration

Lodging information: