MEMBERS

Contact Information

Thank you for updating your contact information. If you are a new member, please fill in all fields and use “/s/ your name” as your digital signature.

Camp Number

Camp Name *

Name or names to be used on Membership Certificate *

Name No. 1 *

Email Address *

Phone Number (cell preferred) *

Name No. 2

Email Address

Phone Number (cell preferred)

Primary Mailing Address

Street Address 1 *

Street Address 2

Town *

State *

Zip Code *

Summer Mailing Address

Street Address 1

Street Address 2

Town

State

Zip Code

Please indicate whether you wish to receive mail at your summer address:

Yes/No *

Name of Camp/Property to be used on Annual Flyer (list of camps, owners and member) *

Emergency Contact *

Emergency Contact Phone (cell preferred) *

Local Emergency Contact *

Local Emergency Contact Phone (cell preferred) *

Date

Please use a digital signature if you are a new member.

Comments

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MEMBERS

Contact Information

Primary Mailing Address

Summer Mailing Address

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