Camp Hancock Registration Form

Camp Hancock - October 8-10, 2010 - Dark Sky Star Camp

* On screen enter the information requested in the yellow boxes.
* Click the ">HERE<" button and the total cost will be automatically calculated.
* FILL out Name, Address, Email and Phone (we won't give them out to anyone).
* PRINT out a copy and make check out to Rose City Astronomers.
* If you do not receive a confirmation message within one week contact Larry.

*October 8-10*		Friday Night - 8^th	Saturday Night - 9^th	Fill in the boxes on screen and your totals will be calculated automatically. Total
Facility Fee Includes All Meals Bunkhouse, Camping or RVing All the same price.		Enter # of people	Enter # of people
Per Person Per Night	$45.00
				$

Contact Name

Additional Names

Address

City, State, Zip

Email (for confirmation)
We do NOT give out addresses

Phone Number

Special Dietary Request

Special Medical Request

Please make sure you have the following with you
Emergency contact: Name - Address - Phone number Alternate phone number if available	Physician information Insurance information

Fill out the form on screen
then

Click HERE to print the page

Make check to:
Rose City Astronomers

Bring to an RCA Meeting
OR Mail To:
Larry Godsey
PO Box 513
Marylhurst, OR 97036

If you wish to pay using your credit card or Paypal account FOLLOW THESE INSTRUCTIONS