Online Family Camp Registration

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Primary Contact (Person making registration payment)
First Name*
Last Name*
Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone Number*
Phone Type
Email*
Please complete the section below for the entire party including primary contact full names, birth dates, relationship to primary contact and any restrictions.*
Name Date of Birth Email Address Allergies, Medical, Physical or Dietary Restrictions Relationship to primary contact
Reservation Details
I would like to attend session(s): (Hold down control key to select multiple sessions.)
I/We Wish to rent a:
If you are interested in renting more than 1 cabin or tent, please outline your request below and we will contact you for details
Amount Due
Amount to be paid now (50% of full amount if prior to April 1 or 100% of full amount if after April 1):
Balance is due April 1 Click here for Rate Sheet Your remaining balance is due by April 1 in the form of check or money order. If you are registering after April 1, the entire amount is due at the time of registration. The deposit is non-refundable in case of withdrawal, except in the event of illness. Guests who cancel after April 1 will be responsible for 100% of the total fee if the resulting vacancy is not filled at the time of cancellation. If using a credit card, it will not be charged when you submit this form, but after you receive confirmation from the Ohana Registrar.
Payment Information
We require at least 50% of your payment to be by check.
Credit Card & Check Payment Details
When paying by CREDIT CARD, you will be charged AFTER you receive a confirmation from the Ohana Registrar and NOT when you submit this form. When paying by CHECK, fill out the information below completely, including credit card information. Your credit card will not be charged. Please note in the additional information field that you are sending a check. A check must be received within seven days of registering or your credit card will be charged. Make your check payable to: OHANA CAMP 2968 Lake Morey Road Fairlee, VT 05045
Credit Card*
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Billing Info*
- Credit Card Billing Address is the same as Primary Contact Address
- Credit Card Billing Address is different than Primary Contact Address
Credit Card Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Additional Information
Important! Please indicate below, as necessary, for each member of your group, any allergies, special medical, physical or dietary circumstances of which we should be aware as your host. If you are designating a dietary preference, please let us know that too.
Phone
This field is for validation purposes and should be left unchanged.

Test name

Position title

Primary Contact (Person making registration payment)

Reservation Details

Amount Due

Payment Information

Credit Card & Check Payment Details

Name	Date of Birth	Email Address	Allergies, Medical, Physical or Dietary Restrictions	Relationship to primary contact