2024 Castaway Club Wk 3

WHERE: Castaway Club

WHEN: June 28-July 3

Departure: early morning on Friday, June 28
Return: late in the night on Wednesday, July 3

COST: $850, a deposit of $150 is required to hold your spot.

Money is nonrefundable after March 15.

After completing this form, a confirmation will be sent with the information you have entered below.

Questions and Information

Contact Peachy Worden ([email protected] or 262-565-7025)

Participant Information

Guest Type

Summer 2024

Castaway Club

Registration Options

Camper Registration ($850.00)
Please select to make a deposit or full payment below.
Leader Registration ($0.00)

Participant Name

Date of Birth

Phone

Phone Type

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Participant Address

Gender

Male
Female

Additional Comment

Ethnicity

T-shirt Size (adult sizes)

School

High School Graduation Year

Parent / Guardian Information

Name

Phone

Phone Type

Address is same as participant

Address

Total

$0.00

Please note all camp participants must have a health form completed and signed by parents and a physician prior to our camp trip. Please schedule an appointment with your doctor or at a walk-in clinic now if you will not have had a physical within 12 months of our camp trip. A separate email will be sent with information on how to complete this online form.

Billing Information

Name

Payment Method

Credit Card
Cash/Check

Credit Card

Visa
Mastercard
American Express
Discover

Address

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