Registration Form
Camp Sturtevant Hike and Dance Weekend
Name _________________________________ Address _______________________________________
City/State/Zip __________________________________________ Female ___ Male ___
Phone: w___________ h_____________ e-mail ___________________________________________
(Please indicate what information you do not want released on a registrant list)
Meal Req.: Vegetarian ____ Non-dairy _____ Omnivore _____ Other (Describe) _________________
Carpools: Willing to take ______ passengers; Looking for a ride ____
Send a check for $145 plus a $6 deposit/person for burro packing (if desired) to:
Dixie Swanson
517 Hoover Court
San Dimas, CA 91773
Please make checks payable to: "Richard Cageao" and include a Self-Addressed, Stamped Envelope
Application deadline: Sept. 23; Cancellations after Sept. 23 forfeit registration fee.