60th Anniversary Celebration & AGM

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Who Are You?

First Name *

Last Name *

Address *

City *

Province *

Postal Code *

Country

Phone *

Email *

Event Fee

Please select all fees that apply to you.

# of people (Age 5+) attending Anniversary Weekend *

CA$40.00

# of people attending the AGM

CA$20.00
This fee is for required Society Member Dues

Accommodation Options

Shared Large Cabin: Saturday Night - $ 40.00

Shared Large Cabin: Friday & Saturday Night - $ 80.00

Lodge Room: Saturday Night - $ 40.00

Lodge Room: Friday & Saturday Night - $ 80.00

- none -

Total

Additional Particpants:

Additional Adult *

Child 1

Child 1 Age

Child 2

Child 2 Age

Child 3

Child 3 Age

Child 4

Child 4 Age

Additional Particpant

Additional Participant Age

Additional Particpant

Additional Particpant Age

Does anyone in your family have any dietary or medical concerns? If so, please explain:

Is there anything else we should know about your family? If you will be selecting a shared cabin please indicate if you prefer to share with a specific family.

Waivers and Conditions

Camp Evergreen can use pictures of your family for promotional purposes *

Yes No