Camp Notre Dame 2001 Resident Camp Application

For easy application, print out this form and send it in with your $100 deposit per child to:
Camp Notre Dame
P.O. Box 74
Fairview PA 16415-0074

Camp Notre Dame 2008 - Resident Camp Application

Camper Information

Camper's Name _____________________________

Address ___________________________________

City _______________________________________

State _____ Zip __________ Male____ Female____

Date of Birth _________ Age on Arrival at Camp _____

Parent Name(s) _____________________________

Area Code Phone # (_____)___________________

School Attending_____________________________

To register more campers, please duplicate the
above information on a separate sheet of paper.

Rates:
$255 for first camper, first week (US$ only)
$225 for each additional camper in immediate family
(US$ only)
$225 for each camper’s additional week
(US$ only)
Please choose the session you would like to attend.

___ # 1 Co-Ed, Jun 22 - June 27
___ # 1 Older camper (15 - 16 yr olds)

___ # 2 Co-Ed, June 29 - July 3 (Rate: $215)
___ # 2 C.I.T. (17 yr olds)

___ # 3 Co-Ed, July 6 - July 11

___ # 4 Co-Ed, July 13 - July 18

___ # 5 Co-Ed, July 20 - July 25
___ # 2 Older camper (15 - 16 yr olds)

___ # 6 Co-Ed, July 27 - August 1

___ # 7 Co-Ed, August 3 - August 8

Cabin Assignments

We will try to honor requests to bunk with friends -
four (4) friends per cabin, please.

Friend # 1_______________________________

Friend # 2_______________________________

Friend # 3_______________________________

Friend # 4_______________________________

Our Camp Director assigns cabins based on each
camper's age. If you'd like your camper bunked with
a friend or relative who is slightly older or younger,
we may be able to accommodate these requests.

For The Record

Is child a ____first-time or ____returning camper

How did you hear about Camp Notre Dame?

________________________________________

For Office use Only

Date received_____________________________

No of weeks attending______________________

Confirmed____________ Total fee____________

Deposit_________ Date________ Check #_______

Balance due________ Date______ Check #______