AMUUSE 2008 REGISTRATION FORM

To register, print this form off, complete and mail in with your registration fee of $150.00 for each camp attending.  If attending more than one camp, registration fees can be included in one check.  Make payable to AMUUSE and mail to :

AMUUSE, c/o SHARON SPENCER, 336 BIRCHWOOD CT., VERNON HILLS, IL 60061

Check each camp that you are registering for.

Saug' in June                   Lake Geneva                     Saugatuck!

    Saugatuck, MI                        Williams Bay, WI                     Saugatuck, MI

    June 15-20, 2008                   July 13-19, 2008                    August 10-16, 2008

    5 days/5nights                        6 days/6 nights                      5 days/5 nights

    Multiple occupancy                  Multiple occupancy                 Multiple occupancy

    $450.00 US Dollars                  $490.00 US Dollars                 $465.00 US Dollars

  I would like the Single Room Option.  I have included an extra $60 with my deposit for
     each camp at which I desire single occupancy.  This option is offered on a space-available
     basis. 


Name:  ___________________________________________________________________
                                (Exactly as you want it to appear in Memory Book
          

            Male        Female          Birthday:  (month/day) ______________


Name:  ___________________________________________________________________
                 (Exactly at you want it to appear on your name tag, including last name)

Address: __________________________________________________________________

City: _______________________________  State: ________________  Zip:  __________

Home Phone:  (___)___________ Work: (___)__________ Cell: (___)_________________

EMail Address:  _____________________________________________________________

Large city nearest your home: _________________________________________________

Person to contact in the event of a medical emergency: ____________________________

Contact Phone: (___) __________________


Cabin Preference:

Every effort is made to assign your first cabin choice, but it is not always possible.

Saug' in June cabin preference (if any):   old or  new or

(Cabin name): ______________________________________________________________

Lake Geneva cabin preference (if any):

(Cabin name) _______________________________________________________________

Saugatuck! cabin preference (if any):   old or  new or

(Cabin name): ______________________________________________________________


CHECK ALL BOXES THAT APPLY TO YOU:

 Accessibility needs.  If you have any physical condition that camp staff should be aware of

    when assigning cabins, etc. please explain: _____________________________________

    _______________________________________________________________________

  Do you have food allergies?  Are you a vegetarian?  If yes, please specificy: ___________

     ______________________________________________________________________

  This is my first AMUUSE camp.

  I don't know anyone coming to AMUUSE camp.

  Please assign a roommate for me, or  I will room with __________________________

  Please send me _____ more brochures to share with friends.


A successful AMUUSE camp includes your participation:

List any skills, talents, hobbies or interests to share with other campers: _________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

I play/will bring the following musical instrument(s): _________________________________

I would be interested in participating in:

  Athletic events (specify)___________________________________________________

  Camp show (Almost anything goes and talent not necessary!)

  Coffeehouse (Music, poetry, storytelling, etc.)

  I am interesting in leading/coordinating the following afternoon workshop or activity: ____

     _______________________________________________________________________


Returning c
ampers:

  I would be interested in being a guide for a first-time camper.

 RESTRICTIONS:

All camp buildings are smoke-free.  No tenting is allowed.  Regulations do not allow pets or alcohol!


QUESTIONS?

 

Contact Sharon Spencer, (847) 816-3356; ssamuuse@aol.com

==========================================================


 For office use only:                                                               Single Room Option

Amt pd: _________________________    Ck no:  _______________________    Postmark: _______________________