2016 CAMP WANNAKUMBAC APPLICATION

Please make cheques payable to: Camp Wannakumbac

Mail to: CAMP WANNAKUMBAC, P.O.Box 125, Onanole, MB R0J 1N0

CAMPER NAME:

ADDRESS

City/Town: Province: Postal Code:

Male ____ Female______

Birthday (Day, Month, Year of Birth) Age:

PARENT NAME:

ADDRESS

City/Town: Province: Postal Code:

Res Phone#: Cell phone # Bus Phone#:

E-Mail:______

(all 6 day sessions begin on a Wednesday afternoon and finish Tuesday evenings) *price includes GST

Which camp do you wish to attend? (X your choice of camp week)

Session / Dates / Age / M/F / Price*
o  Teen Camp / July 6 – 12 / 13-15 / Co-ed / $335.00
o  Senior Camp / July 13 – 19 / 12-14 / Co-ed / $325.00
o  Intermediate Camp A / July 20 – 26 / 10-12 / Co-ed / $315.00
o  Intermediate Camp B / August 3 - 9 / 10-12 / Co-ed / $315.00
o  Junior A Camp / August 10 – 16 / 9-11 / Co-ed / $290.00
o  Junior B Camp / August 17 - 23 / 8-10 / Co-ed / $290.00
Counselor in Training Level 1 / TBA / 16+ / Co-ed / $200.00
Counselor in Training Level 2 / TBA / 16+ / Co-ed / 100.00

$50.00 deposit is non-refundable and must accompany all registrations.(*CC payments must be total campers fees)

Fee schedule: Deposit Balance

Teen Camp / July 1 - 7 / 13-15 / 50.00 / $285.00
Senior Camp / July 8 - 14 / 12-14 / 50.00 / $275.00
Intermediate Camp A / July 15 - 21 / 10-12 / 50.00 / $265.00
Intermediate Camp B / July 22 - 28 / 10-12 / 50.00 / $265.00
Junior A Camp / August 5 - 11 / 9-11 / 50.00 / $240.00
Junior B Camp / August 12 - 18 / 8-10 / 50.00 / $240.00
Counselor in Training Level 1 / TBA / 16+ / 50.00 / $150.00
Counselor in Training Level 2 / TBA / 16+ / 50.00 / $50.00

Counselor In Training (16 Years & Up) Dates to be negotiated. CIT’s date options will be negotiated to accommodate summer work schedules.

If the camp is notified ONE MONTH prior to their camp session, a refund may be issued for medical cancellations. All deposits are non-refundable.

Remainder of the balance owing to camp, plus the medical form is due no later then ONE MONTH PRIOR to the first day of camp. If we are not notified by the ONE MONTH PRIOR deadline, the total fees paid to the camp are non-refundable.

NOTE* Credit card payments must be the total campers fees paid in one transaction.

Credit Card: M/C VISA #______

Exp ______Name as on card______Security #______Amt$______