To reserve a space, please PRINT THIS PAGE and fill out the registration form and send it along with a non-refundable deposit of $100.00 per child per session made out to Mr. and Mrs. Fish, Inc. to:

Shortly after we receive your registration and deposit, we'll send you a postcard confirming your space in the program. In late May/early June, you will receive a full camp information packet complete with health form, etc. which should answer any and all questions you might have.

FISH CAMP REGISTRATION FORM 2010

NAME ______________________________________ AGE (as of June 22) ____

Sex: Male ____ Female ____

ADDRESS ________________________________________________________

CITY, STATE ________________________________________ ZIP ______

Mother's Name _____________________________________________________

Home Phone _____________ Cell Phone ____________ Work Phone __________

Father's Name ______________________________________________________

Home Phone _____________ Cell Phone ____________ Work Phone __________

SESSION I _____ Tuesday, June 22nd to Friday, July 2nd

SESSION II _____ Tuesday, July 6th to Friday, July 16th

SESSION III _____ Tuesday, July 20th to Friday, July 30th

SESSION IV _____ (one-week special edition) Monday, August 2nd to August 6th

If you have questions, please feel free to call Jan Geyer, Fish Camp Registrar, at 767-5517.