Cape Cod & Islands Council
Boy Scouts of America

2007 Family Camp
August 3-5
Registration Form

Return completed application and payment to:
Cape Cod & Islands Council, BSA
247 Willow Street
Yarmouthport, Ma 02675

Name:

___________________________________________

Mailing Address:

___________________________________________

Town:

___________________________________________

State:

__________

Zip Code:

________________________

Day Phone:

________________________

Evening Phone:

________________________

Email:

________________________

Total Number of Guests:

__________

Arrival Date:

__________

Departure Date:

__________

Preferred Sleeping Facilities:

___Wall Tent

___Lean-To

___Own Tent(s)

___Self-contained Camper

Family Camping Fees:

# Attending _______ x $30.00 per person $ __________
or
_________ Family Rate @ $120.00

Payment Method:

___ Check enclosed (make checks payable to Cape Cod and Islands Council, BSA)

___Credit Card

___ Visa

___MasterCard

Cardholders Name: _________________________
Account Number: _________________________	Expiration Month: _____ Expiration Year: _______

Questions/Comments/Special Needs:

______________________________________________________________________________________