JMG Registration Form

JMG 2008 Test Camp Individual Registration Form
Encampment dates: Monday, July 21 - Friday, July 25, 2008
Please submit a separate registration form for *each* camper you register. ONE Camp registration form per camp is also required (link to Camp Registration Form):
Camper's Full First Name
Camper's Last Name
Camper's Nickname					Gender
Age				Date of Birth
Name of Camp
Campers Home Address
City
State/Province
Zip/Postal Code			Country
Past # of years tested at JMG?
Assign a campsite group number for this camper: (Note: You may group six campers from your camp per group campsite)
I certify that the above named Junior Maine Guide candidate has:
Treaded water for five minutes Demonstrated the survival float Can Swim 100 yards OR has earned a Red Cross Level IV card		Your name:
		Your title:
	Please submit this form no later than July 14, 2008
Cost per camper is $120, or $130 for non-MYCF member camps	Please submit your check for $120, or $130 for non-MYCF members per camper by mail to: MYCF, PO Box 1861, Portland, ME 04104 Phone: 207-780-4628