Family Camp Registration Form

Camp Royaneh
4600 Scanlon Rd
Cazadero, CA 95421

CAMP PRICES

(sign up and pay online or at camp)
-Adults (age 17 and up): $55/day

-Adolescents (12-16): $45/day
-Children (age 3-11): $35/day

-2 and under: Free

Before filling out this form it is important that you

read and review the following documents:
-Camp Letter & Information
-Medical Waver Form
-Code of Conduct

Camp starts on August 17th, sign up now!

NEW: Families need only pay for a maximum of 3 school age children. Please use the paper registration form if you qualify for this special pricing.

Family Name and Contact Information

Last Name *

Phone *

Email Address *

Alternate Phone 1

Alternate Phone 2

Participant Information

Days attending * 🛈

Wed/Thu

Thu/Fri

Fri/Sat

Sat/Sun

number of participants *

Lodging requests 🛈

number of participants in bunkhouse/cabin (& 3 or older) *

Lodging fees:

0.00

First Name (1) *

Last Name (1) 🛈

Gender (1)

Grade this fall (1)

Age (1)

Attendee 1 Fee:

0.00

First Name (2)

Last Name (2) 🛈

Gender (2)

Grade this fall (2)

Age (2)

Attendee 2 Fee:

0.00

First Name (3)

Last Name (3) 🛈

Gender (3)

Grade this fall (3)

Age (3)

Attendee 3 Fee:

0.00

First Name (4)

Last Name (4) 🛈

Gender (4)

Grade this fall (4)

Age (4)

Attendee 4 Fee:

0.00

First Name (5)

Last Name (5) 🛈

Gender (5)

Grade this fall (5)

Age (5)

Attendee 5 Fee:

0.00

First Name (6)

Last Name (6) 🛈

Gender (6)

Grade this fall (6)

Age (6)

Attendee 6 Fee:

0.00

First Name (7)

Last Name (7) 🛈

Gender (7)

Grade this fall (7)

Age (7)

Attendee 7 Fee:

0.00

First Name (8)

Last Name (8) 🛈

Gender (8)

Grade this fall (8)

Age (8)

Attendee 8 Fee:

0.00

First Name (9)

Last Name (9) 🛈

Gender (9)

Grade this fall (9)

Age (9)

Attendee 9 Fee:

0.00

Camp Scholarship Code

Registration fee:

40.00

Enter your initials here to affirm that all members of your family have read and agree with the rules of the camp as laid out in the Code of Conduct. (Don't forget that everyone 10 and older should sign and turn in a printed copy) *

Release and Waiver of Liability and Indemnity Agreement *

I have filled out and completed the Release and Waiver form

Waiver Form

Code of Conduct