2010 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
$415/week

Select Week Dates Circle One Program
  1 June 27 - July 3 Water Adventure, Indian Way, Outdoor Adventure, Horsemanship
  2

July 4 - July 10

Water Adventure, Indian Way, Outdoor Adventure, Horsemanship
  3 July 11 - July 17 Water Adventure, Indian Way, Outdoor Adventure, Horsemanship
  4 July 18 - July 24
Water Adventure, Indian Way, Outdoor Adventure, Horsemanship


*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
$175/week - $50/day

Mon - Tue - Wed - Thur - Fri

Please select all weeks that apply:
  Week 1 June 28 - July 2   Week 3 July 12 - 16
  Week 2 July 5 - 9   Week 4 July 19 - 23



CIT (Counselor In Training) Program
$435

Session One June 27 -July 10
Session Two July 11-July 24

COED TEEN TRAVEL 13-15 years
$455

Week 1 July 11-17
Week 2 July 18-24


*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