Test OLD _Camp Registration 2018 Are You... * New Campers & Return Campers with Updates/Changes to Any Information Returning Camper - no changes to any contact info or dog info since last camp attended Name * Email Address * Is email a reliable way to contact you? * Yes. Send all camp info electronically.No. Please post-mail all camp info to me. Age * Gender * MaleFemale 2nd Human Camper Name & Age (If applicable) Occupation(s) * Address Street Address * City * State * AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code * Primary Phone Number * Cell or Work Phone * Please check if you require one of the following dietary restrictions: VegetarianVeganGluten Free T-Shirt Size (for Canteen Ordering) XSSMLXLXXLXXXL Emergency Contact Name * Emergency Contact Relationship * Emergency Contact Phone * Vets Name * Vets Phone * How did you hear of Camp Dogwood? I AM DOGWOOD ALUMNIReferral. (Enter referrer in next field.)Internet. (Enter site in next field...)Advertisement. (Enter publication...)Editorial. (Enter publication...)Web link. (Enter website...)Other. (Please detail...) Details/info for previous question Choose What Camp You are Registering For * Winter Camp Spring/Fall Spring/Fall Choose a Camp Dogwood Session * Spring 2018 ( May 31 - June 3)Fall 2018 ( October 4 - 7) Housing Type * On-site Cabin On-site Lodge (heated and w/private bathroom) Tent Camping None: I've chosen to stay OFF-SITE None: I would like a DAYPASS Cabin Options * Single Occupancy - $635/person Double Occupancy - $585/person Double Occupancy, 1 dog - $1070/ 2 ppl Group Occupancy, 3+ - $535/person Number of Humans * Total Group Cost Lodge Options * Single Occupancy - $835/person Double Occupancy - $735/person Double Occupancy, 1 dog - $1370 Call to inquire about groups over 3 Tent Options * On Site (Tent/RV) - $510/person Off Site (Programs/Meals) - $510/person Day Pass Option * 1 person (Fri or Sat), 1 or 2 dogs - $145 1 person (Fri AND Sat), 1 or 2 dogs - $290/person 2 person (Fri or Sat), 1 dog only - $220/2 ppl Camp Upgrades Extended Stay (Arrive 1 day early) - $125 Extra Dog Extra Dog - $50 Camp Upgrades | Number of Dogs Dog Upgrade Total Cabin Cost Total Cabin Cost Total Lodge Cost Total Tent Cost Total Day Pass Cost Winter Camp Occupancy * Single (Up to 2 dogs) -$475/person Double Up to 4 dogs) - $395/person Group (3+) - $345/person Number of Humans * Total Group Cost Total Cost Information about Dogs Have you ever worked or volunteered with Dogs ? * YesNo If yes above: How -or- With Who? * How many dogs will you bring? OneTwoThreeFour Dog #1 Dog #1 Name * Dog #1 Age and Breed * Dog #1: Where did you get this dog and at what age? * Dog #1 Gender and Status * male, fixedmale, intact (subject to guidelines)female, fixedfemale, intact (not permitted if in heat) Dog #2 Dog #2 Name Dog #2 Age and Breed Dog #2: Where did you get this dog and at what age? Dog #2 Gender and Status male, fixedmale, intact (subject to guidelines)female, fixedfemale, intact (not permitted if in heat) Dog #3 Dog #3 Name Dog #3 Age and Breed Dog #3: Where did you get this dog and at what age? Dog #3 Gender and Status male, fixedmale, intact (subject to guidelines)female, fixedfemale, intact (not permitted if in heat) Dog #4 Dog #4 Name Dog #4 Age and Breed Dog #4: Where did you get this dog and at what age? Dog #4 Gender and Status male, fixedmale, intact (subject to guidelines)female, fixedfemale, intact (not permitted if in heat) Where did you get your dog, and at what age? About Your Dog For obedience.. * I trained my dog myselfI took my dog to obedience classesI worked with a private trainerObedience? That's not our best subject.. My dogs are * SubmissiveDominantGoes with the flow.. Has your dog (check all that apply) * Bitten another dog Been bitten by a dog Bitten a human None of the Above Please Explain * My dog(s) (choose all that apply) * Is primarily a backyard dog. Is a frequent park/beach attendee. Successfully co-mingles at doggy daycare. Encounters other dogs on leashed walks. Sometimes "Needs Space". Has run away before. Suffers from separation anxiety. Is friendly and playful. Participates in organized dog sports. Is there anything else we should know about your dogs? * My dog is possessive of * Me Toys Treats / Food Nothing Are there any topics, activities or suggestions for speakers that you have interest in? Payment Information Payment Options * Pay Now Using PaypalMail Check to Camp Dogwood Checks Payable to: Camp Dogwood, 205 Barberry Rd., Highland Park, IL 60035 This payment is my * $200 deposit for an individual $400 deposit for a couple billing together Payment-in-Full ("Anticipated Camp Fee" below) Anticipated Fee Total Deposit Total Day Pass (*Day Pass Must be Paid in Full*) Rules and Policies Agreement * I agree to the Camp Dogwood rules and policies Privacy Policy * I have read and agree to the Privacy Policy
