To Register

Please Print and complete this form, then mail the form and payment to Stony Glen Camp.

5300 W. Loveland Road—Madison, OH 44057

For more information e-mail info@stonyglencamp.org or call the Stony Glen at 440-298-3264

Labor Day ‘10 registration
Please mail payment with this form
Name:____________________________________________________
Address:__________________________________________________
Phone:____________________________________________________
E-mail:____________________________________________________
(Detailed schedule will be sent by e-mail)
Adults _____ x $38 per person = _______
Teens _____ x $30 per teen (13-18) = _______
Children _____ x $21 per child (4-12) = _______
Children under 4 ___ (no charge, but please bring childcare donation)
Total enclosed: $________
If families can share please let us know. That helps us make the best use of cabins.

Do you need a cabin? _____ Can you share a cabin? _____ With whom? _____________________________
Arriving when? __________________Staying Sunday night? ________
Circle the meals where we can expect you:
Friday night: snack
Saturday: breakfast lunch dinner
Sunday: breakfast lunch dinner