Camp Hancock Registration Form

Camp Hancock - April 9-11, 2010 - Dark Sky Star Camp

* On screen enter the information requested in the yellow boxes.
* Click the ">HERE<" button and the total cost will be automatically calculated.
* FILL out Name, Address, Email and Phone (we won't give them out to anyone).
* PRINT out a copy and make check out to Rose City Astronomers.
* If you do not receive a confirmation message within one week contact Larry.

*Apr 9-11*		Friday - 9^th	Saturday - 10^th	Sunday - 11^th
Meal prices are per person per meal		Enter # of people	Enter # of people	Enter # of people
Breakfast - 9am	$5.00
Sack Lunch - 10am	$4.00			Fill in the boxes on screen and your totals will be calculated automatically. Total
Dinner - 6pm	$6.00
Bunkhouse Lodging all prices are per person per night		Enter # of people	Enter # of people
Bunkhouse Lodging	$25.00
Camping/Tents/Trailers/RV all prices are per person per night		Enter # of People	Enter # of people
Tent/Trlr/RV/Van	$20.00
				$

Contact Name

Additional Name

Address

City, State, Zip

Email (for confirmation)
We do NOT give out addresses

Phone Number

Special Dietary Request

Special Medical Request

Please make sure you have the following with you
Emergency contact: Name - Address - Phone number Alternate phone number if available	Physician information Insurance information

Make check to:
Rose City Astronomers

Fill out the form on screen
then

Click HERE to print the page

Bring with you
and your check
to Hancock
and give to Jan Keiski