2008 CAMPER REGISTRATION

Please print the following form, complete, and return with deposit to:
Camp Tuckabatchee
1973 N. 35th Rd.
Ottawa, IL 61350

Please Print:

Camper Name ______________________________________ Boy Girl

Age at Camp _____ Grade in Sept _____ Birthdate ___/___/___

Parents Name ___________________________________________________

Address _______________________________________________________

City _________________State ______ Zip _______________

Phone: (home) (____)____-_____ (work) (____)____-_____

New Camper? _____ Return camper # of years ______

CABIN MATE POLICY: Campers may choose one friend as a cabin mate. That cabin mate that they chose must also request them. All cabins are assigned by age and sex.

Friend's Name __________________________ Age ______

CO-ED RESIDENT CAMP 7-13 years
$390/week

Select Week Dates Circle One Program
  1 June 15 - 21 Water Adventure, Indian Way, Outdoor Adventure, Horsemanship, Biking
  2

June 22 - June 28

 Water Adventure, Indian Way, Outdoor Adventure, Horsemanship, Biking
  3 June 29- July 5 Water Adventure, Indian Way, Outdoor Adventure, Horsemanship, Biking
  4 July 6 - 12
 Water Adventure, Indian Way, Outdoor Adventure, Horsemanship, Biking
  5 July 13 - 19 Water Adventure, Indian Way, Outdoor Adventure, Horsemanship, Biking
  6 July 20 - 26 Water Adventure, Indian Way, Outdoor Adventure, Horsemanship, Biking


*Weekend stay over between sessions $85 per camper, per weekend, includes laundry.

CO-ED DAY CAMP 6-10 years
By the Week or by the Day
$150/week - $40/day

Mon - Tue - Wed - Thur - Fri

Please select all weeks that apply:
  Week 1 June 16-20   Week 4 July 7-11    
  Week 2 June 23-28   Week 5 July 14-18    
  Week 3 No Day Camp   Week 6 July 21-25    



CIT (Counselor In Training) Program
$410

Session One June 15-28
Session Two June 29-July 12
Session Three July 13-26

COED TEEN TRAVEL 13-15 years
$430

  Week 1 June 15 - 21   Week 4 July 6-12
  Week 2 June 22-28   Week 5 July 13-19
  Week 3 June 29-July 5   Week 6 July 20-26


*Weekend stay over between sessions $85 per camper, per weekend, includes laundry

Please select payment type:
  Check   Money Order   Credit Card

Credit Card #__________________________ Expires ___/___

Cardholder's Name ___________________________________

Please select credit card type:
  VISA   MASTERCARD   DISCOVER