THIS FORM CAN BE USED FOR REGISTERING FOR ANY DOGWOOD SESSION,

Thank you for thinking about registering for Camp Dogwood. Our Online Registration system is always evolving and registrations will still be confirmed by humans. We ask that you choose a first and second housing choice when registering for Spring or Fall camps. As much as we try to accommodate all applications, your first choice may not be always be available. If unavailable, we will confirm your second selection.

Couples should note: Listed Rates are all shown per individual human camper, and up to two dogs per registration.    Couples may register together using ONE FORM, but make sure to select indicate "couple" on the form and make sure to calculate any fee(s) x2 in the "Anticipated Fee / Authorized Charge" section. Couple registrations are inclusive up to 4 dogs (technically 2 per registration)

Please review our payment and cancellation policies (found at bottom of Registration page) before submitting your registration. And make sure to indicate you've read, and agree to, these policies by checking the box on the registration form.

Thanks again for your interest and for registering. A camp representative will be in contact if there are any questions about your registration or the availability of your choices. We look forward to seeing you at camp very soon!

* Required fields
Name *
E-mail Address *
This registration is for *	one individual a couple (2 people, sharing housing AND billing) my 2nd DOG info (your name + dog's info only) my 3rd DOG** info (your name + dog's info only) **3rd dog has $50 Additional Dogs fee
Age
Gender	male female
If "couple", enter 2nd human's name and agehere
Occupation
Complete Mailing Address
Primary Phone
Work Phone
Other Phone
T-Shirt Size	Small Medium Large X-Large X-X-Large X-X-X-Large
Is E-MAIL a reliable contact for you?	Yes. Send all camp info electronically. No. Please post-mail all camp info to me.
Emergency Contact
Emergency Phone
Vet's Name or Office & Telephone
How did you hear of Camp Dogwood?	I AM A RETURNING CAMPER Referral. (Enter referrer in next field...) Internet. (Enter site in next field...) Advertisement. (Enter publication...) Editorial. (Enter publication...) Web link. (Enter website...) Other. (Please detail...)
Enter details/info for previous question
	Check here if you'd need VEGETARIAN meals.
Choose a Camp Dogwood Session	Select SPRING or FALL camp HERE SPRING 2012: May 25-28, 2012 FALL 2012: October 5-8, 2012
SPRING/FALL OCCUPANCY 1st Choice	Select Occupancy for SPRING or FALL Single Occupancy Double Occupancy Shared Housing Make my own OFF-SITE plans (No lodging) Daypass Camper (No lodging)
SPRING/FALL OCCUPANCY 2nd Choice	Select Occupancy for SPRING or FALL Single Occupancy Double Occupancy Shared Housing Make my own OFF-SITE plans (No lodging) Daypass Camper (No lodging)
SPRING/FALL HOUSING 1st Choice	Rustic Cabin Rustic Cabin (PLUS) Seasonal Lodge Tent or RV Camping (provide own) None: I've chosen OFF-SITE None: I've chosen a DAYPASS (SAT) None: I've chosen a DAYPASS (SUN) None: I've chosen a DAYPASS (SAT & SUN)
SPRING/FALL HOUSING 2nd Choice	Rustic Cabin Rustic Cabin (PLUS) Seasonal Lodge Tent or RV Camping (provide own) None: I've chosen OFF-SITE None: I've chosen a DAYPASS (SAT) None: I've chosen a DAYPASS (SUN) None: I've chosen a DAYPASS (SAT & SUN)
ADD EXTENDED CAMP? (arrive early)	No Extended Camp. Extend SPRING 2012 Camp (arrive May 24, 2012) Extend FALL 2012 Camp (arrive October 4, 2012)
+ WORKSHOP, SEMINAR or CLINIC?	We are not offering any Workshops in 2012.
My roomate(s) for my selected session should be: (list names)
	Try and match me a roommate(s) for Double or Shared accommodations..
Are there any factors to take into account for you or your dog as we pair roomates? (if applicable)
Do you ever work or volunteer with dogs?	Yes. (Please detail below.) No.
If yes above: How -or- With Who?
How many dogs are you planning to bring to camp?	ONE TWO THREE (additional fee) ...MORE (add'l fee & restrictions)
Dog 1: Name/Age/Breed
Dog 1: Gender & Status	male, fixed male, intact (subject to guidelines) female, fixed female, intact (not allowed when in heat)
Dog 2: Name/Age/Breed
Dog 2: Gender & Status	male, fixed male, intact (subject to guidelines) female, fixed female, intact (not allowed when in heat)
Dog 3: Name/Age/Breed
Dog 3: Gender & Status	male, fixed male, intact (subject to guidelines) female, fixed female, intact (not allowed when in heat)
For campers bringing 2, 3 or more dogs...	I will submit an additional form for DOG 2 and/or DOG3 (complete your name and dog info only). My dogs ALL share the same temperament and experience levels.
Where did you get your dog(s), and at what age(s)?
For Obedience...	I trained my dog by myself I took my dog to obedience classes I worked with a private trainer Obedience? Not our best subject
My dog is...	Submissive Dominant Goes with the flow
	Primarily a backyard dog
	Encounters other dogs on leashed walks
	A park/beach dog
	Successfully co-mingles at doggy daycare
	Participates regularly in organized dog events/activities
	My dog has been bitten by another dog
	My dog has bitten another dog
	My dog has bitten a person
	My dog marks territory outdoors
	My dog marks territory indoors
	My dog is FRIENDLY
	My dog is PLAYFUL
	My dog is ENERGETIC
	My dog is WELL-MANNERED
	My dog is TERRITORIAL
	My dog is FEARFUL
	My dog is NERVOUS
	My dog is LAID BACK
	My dog sometimes needs "space"
	My dog has run away before
	My dog suffers from seperation anxiety
My dog is possessive of:	nothing toys treats/food me
Enter any personal info we should know about THIS dog in the space provided. Then complete the section below about this dog.
Are there any topics, activities or suggestions for speakers that you have interest in?
Are YOU able to add anything fun to our schedule? This can be (but not limited to) dog activities. (*Example: yoga instructor, great storyteller, Oprah's buddy ...etc.)
This payment is my	$200 deposit for an individual $400 deposit for a couple billing together Payment-in-Full (State "Anticipated Total" below)
	I understand fees are listed PER HUMAN.
Enter Discount Code or Coupon ID here:
Payment Method	Credit Card info provided below. Check to be mailed within 24 hours
Name on card
Credit Card Type (Mastercard/Visa only)	Mastercard Visa
Credit Card Number
Expiration Date
Total Authorized Charge Amount
Does this card have same billing address as provided as registration address?	Yes. (You can leave next field blank) No. (Please provide billing address in next field.)
Credit Card Billing Address (if different than Mailing Address above)
	As cardholder, I authorize this charge.
	I agree to all Camp Dogwood rules, policies (http://www.campdogwood.com), and all payment, cancellation and refund terms.

I have read and agree to the Privacy Policy *

Spam prevention

Please enter the code shown above and click the 'Submit Form' button. This additional step is required to help protect against message spam.

Enter code above:

Before hitting Submit...

• Have you completed the above form completely?
• Have you submitted your payment information? (*or post-mailed your check)
• Have you fully reviewed our NEW Payment & Cancellation Policies?
• Did you consider EXPANDING your session by registering for EXTENDED CAMP?

If you have additional forms to complete for a DOG 2 or a DOG 3, please do so immediately after submitting this form.

Thanks again for joining us at Camp Dogwood.

A camp representative will confirm your submission
and email a pre-camp packet prior to your camp session.

Thanks and see you soon!