Registration will be limited to around 25 children, with one adult per child (and no more than two adults per family). Once we receive your registration, we'll contact you immediately to let you know if there is still space, after which you should send in your camp fee to reserve your space.
Please submit the form below to start the registration process. We'll contact you typically within 3 days to acknowledge receipt of your registration. If you do not hear back from us in this time please send email . Send your deposit or total camp fee separately by postal mail to: Brenda Callen ·138 Twin Oaks Rd #W · Louisa, VA 23093 (540) 894-5126 Fax: (540) 894-4112 Email
Please fill in all fields that apply. Fields marked with * are required.
Child Participant(s) information. Fill this in as appropriate.
Adult Participant(s) information. Fill this in as appropriate.
Adult #1 food preferences/limitations
Adult #2 food preferences/limitations
Fees will be due by March 26, 2003. The $20 non-refundable deposit is due with registration form.
We have limited space for the reduced fee for assisting parents. If you check off the assisting parent payment, hold off on paying the deposit until we notify you as to whether or not we will be able to accept this lower fee, depending on how many others have requested this before you.
We may also have limited space for lower income families who wish to attend camp, but cannot afford the fees even at the assisting level. If that is the case for you, please write in the "other notes" section above explaining what you can pay. As long as we have enough registrants paying a moderate amount, we may be able to accept registrants below the quoted fees. We'll notify you as to whether or not we will be able to accept this lower fee, depending on how many others have requested this before you.
To reserve your space, submit this registration form, followed by the $20 deposit, once we've contacted you to let you know there is still space. The remainder of the fees will be due by March 26. We will send a reminder.
Your deposit and payment will be refunded in the event that the camp is cancelled.
Mail your $20 deposit or entire camp fee to: Brenda Callen 138 Twin Oaks Road #W Louisa, VA 23093