Camp Wannadance 2009 Registration

Name(s)________________________________________________________________________

Address _______________________________________________________________________

City __________________________________________________________________________

State/Province Zip/Postal Code ________________________________________________

Phone (h)_________________________ Phone (w)___________________________________

Email _________________________________________________________________________

Number of women? _________________ Number of men? ____________________________

Number of children? ______________

Names and ages of children? ___________________________________________________

$75.00 deposit per person _______

or

Postmarked before March 2
$150.00 per person tuition paid in full _______
$140.00 per person tuition paid in full (CDSS member)_______
$100 per person (18 - 30 years) tuition paid in full _______
$75 per person (under 18 years) tuition paid in full _______

Postmarked after March 2 $165.00 per person tuition paid in full _______
$155.00 per person tuition paid in full (CDSS member)_______
$110 per person (18 - 30 years) tuition paid in full _______
$80 per person (under 18 years) tuition paid in full _______

Donation to Camp Wannadance scholarship fund _____________

I/we would like information about a work scholarship. _______

Number requesting vegetarian meals _______

Make checks payable in U.S. funds to Wannadance, and mail to:
Wannadance, 6712 12th Ave NW , Seattle, WA 98117