Day Camp Registration

2007 Day Camp at Camp Whitewood
Selection and Registration Application

To reserve your week(s), please print out this form and return this registration with payment to the address listed below. Day Camp cost is $75/week, sibling cost is $70/week.

Checks payable to: Northeastern Ohio 4-H Camps, Inc.

General Information:

Camper Name: Parent/Guardian Name(s):

Address: County:

City/State Zip Code:

Parent Work Phone: ( ) Parent Cell Phone: ( )

Home Phone: ( ) Second Contact:

Camper Date of Birth:

Selections: circle or highlight selected weeks

Week
Theme
2007 Dates
Overnight

Week 1
Pirates/Super Heroes
June 11 - June 15

Week 2
The Great Outdoors
June 18 - June 22

Week 3
On the Go!
June 25 - June 29

Week 4
Paradise Islands
July 2 - July 6

Week 5
Bugs, Bugs, Bugs
July 9 - July 13
Optional Thursday Overnight

Week 6
Navy Seals
July 16 - July 20

Week 7
Splish, Splash
July 23 - July 27
Optional Thursday Overnight

Week 8
Safari
July 30 - August 3

FOR MORE INFORMATION, PLEASE CLICK ON: DAY CAMP INFORMATION PAGE

The cost to attend day camp is $75 per week, sibling cost is $70 per week. The day camp fee must be paid prior to check in.
The optional Thursday overnight program is open to children registered for that entire week at an additional $25 cost.
Return registration with payment to address below.

For funding purposes, indicate race (optional) Caucasian ______ Hispanic ______ African American ______

Caucasian/African American ______ Caucasian/Asian ______ American Indian (AI)/Alaska Native (AN) ______

White and AI/AN ______ African American and AI/AN ______ Native Hawaiian/Pacific Island Mixed ______

Type of Residence: Farm ______ Rural ______ Town ______ Suburb ______ City ______

Is there anything you wish to share about this camper that would help camp staff provide them with a positive and
safe camping experience?

____________________________________________________________________________________________________________

Please return this application to:

Northeastern Ohio 4-H Camps, Inc.
7983 Wiswell Road
Windsor, Ohio 44099

For More Information:

Call Toll Free: (800) 967-2267
Phone: (440) 272-5275
Fax: (440) 272-5276

e-mail: ablair@cfaes.osu.edu

web site: http://www.ag.ohio-state.edu/~wwood4h/

Return To Top

Return to Home Page

Updated: June 2007

Camper Name:	Parent/Guardian Name(s):
Address:	County:
City/State	Zip Code:
Parent Work Phone: ( )	Parent Cell Phone: ( )
Home Phone: ( )	Second Contact:
Camper Date of Birth:

Week	Theme	2007 Dates	Overnight
Week 1	Pirates/Super Heroes	June 11 - June 15
Week 2	The Great Outdoors	June 18 - June 22
Week 3	On the Go!	June 25 - June 29
Week 4	Paradise Islands	July 2 - July 6
Week 5	Bugs, Bugs, Bugs	July 9 - July 13	Optional Thursday Overnight
Week 6	Navy Seals	July 16 - July 20
Week 7	Splish, Splash	July 23 - July 27	Optional Thursday Overnight
Week 8	Safari	July 30 - August 3
FOR MORE INFORMATION, PLEASE CLICK ON: DAY CAMP INFORMATION PAGE The cost to attend day camp is $75 per week, sibling cost is $70 per week. The day camp fee must be paid prior to check in. The optional Thursday overnight program is open to children registered for that entire week at an additional $25 cost. Return registration with payment to address below.