Hidden Registration For Camp -- 2019

An Adult Singles Vacation Camp

AMUUSE

Adult Midwest Unitarian Universalism Singles Enrichment

First Name

Last Name

Email:

Phone:

Street Address

City

State

Zip Code

My preferred pronoun

I identify my gender as

First time at AMUUSE?

Yes

No

Emergency Contact Name

Emergency Contact Phone

Physician Name and Phone (in case of emergency)

This facility does not provide vegan options. Please bring the food you need to sustain yourself. Refrigerators are available.

Vegetarian

Gluten-free

Food allergies

I would like to room with:

Camper Participation

Interested in leading morning group

Interested in leading afternoon group

Other

Comments: Dietary, Camper Participation, etc.

Payment -- Details below

Pay via check

Pay via PayPal

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Paying via check:

Please send to

AMUUSE

Camp Registration

Updated August 16, 2026

For additional information, please contact AMUUSE registration at

AMUUSE.reg@gmail.com

AMUUSE

amuuse1971@gmail.com

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