2012 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:(____)____-_____ (Email address)________________________________

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 OVERNIGHT CAMP • 6-14 years old

_______New Mini Week 1               June 18 - 20                                  $150.00

_______New Mini Week 2               June 24 - 28                                  $300.00

_______Week 3                                 July -14                                        $415.00

               Circle One: Indian Way - Water Adventure - Outdoor Adventure - Horsemanship

______Week 4 July 15 - 21                                                                    $415.00

              Circle One: Indian Way - Water Adventure - Outdoor Adventure - Horsemanship

 

CO-ED TEEN TRAVEL • 13-15 years old

______July 15 - 21                                                                                  $455.00


CO-ED DAY CAMP • 5-13 years old

$40.00 per day 9 am - 4 pm
Pay for 5 days for one child and receive one day free for that child.
Day Camp is available 7 am - 6 pm
Hours prior to 9 am and after 4 pm are $7.00 each hour.

______June 4-5-6-7-8                                     ______July 2-3-5-6
            Mon-Tue-Wed-Thur-Fri                                Mon - Tue - Thur - Fri

______June 11 - 12-13 -14-15                        ______July 9-10-11-12-13
            Mon-Tue-Wed-Thur-Fri                                Mon - Tue - Wed - Thur -Fri

______June 18 - 19 - 20                                 ______July 16-17-18-19-20
            Mon - Tue - Wed                                            Mon-Tue-Wed-Thur-Fri

______June 25-26-27-28-29
            Mon - Tue - Wed - Thur - Fri

 


$100.00 deposit will hold your space in any program.


CHECK • MONEY ORDER • CREDIT CARD

(Circle one) VISA      MASTERCARD        DISCOVER

Credit Card #___________________________________________________ Expires__________

Cardholder's Name_________________________________________________________________