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Contact Camp
     
 
2012 Outpost Camp Registration
 
 
Please Complete the Following
*Required Field  
Camper Information
Camper Name*
Camper's Birthdate* [ Format: mm/dd/yy ]
Male / Female* Male Female
Primary Address*
City*
State/Province*
Zip/Postal Code*
Home Phone*
(for address above)
Email* (for parent / guardian communication)
School Grade*
[ As of September 2012
Grade 13 = first summer out of high school]
Name of School
Are you a new or returning camper?*
New Returning: This will be my year at Manito-wish
Family Status
Camper lives at address above with:*
Both parents together mother father guardian other
Address Camp communication to:*
Both parents together mother father guardian other
Parent/Guardian #1 information:
Mr./Ms./Dr. (First   MI   Last)
Relationship to camper: mother father guardian other
Manito-wish Alumni? Yes No
If yes, given/maiden name:
Workplace:
Work/Daytime Phone Number:
Home Phone:
Cell Phone:
Address:
(if different from primary address of camper)
Parent/Guardian #2 information:
Mr./Ms./Dr. (First   MIl   Last)
Relationship to camper: mother father guardian other
Manito-wish Alumni? Yes No
If yes, given/maiden name:
Workplace:
Work/Daytime Phone Number:
Home Phone:
Cell Phone:
Address:
(if different from primary address of camper)
CAMPS
Please indicate your first & second choice of Outpost trip.
All trips are single gender. PLEASE NOTE ENROLLMENT DEADLINES.

Additional trip groups will not be added after this time.
If you want to enroll after the deadline, please call to check for availability.
Outpost Voyageur (Entering 9th or 10th grade. Must be 14 years of age prior to trip.)  
NO previous Manito-wish experience, trail experience, or invitation necessary. Prior Manito-wish/trail experience and invitation NOT required. Campers may enroll in more than one trip. Separate gender trips. MUST ENROLL BY: April 15, 2012.
  BOYS   GIRLS
  June 17 - June 30
Canoe Sea Kayak Backpack
  July 2 - July 15
Canoe Sea Kayak Backpack
  July 18 - July 31
Canoe Sea Kayak Backpack
  August 2 - August 15
Canoe Sea Kayak Backpack
   
Outpost Intermediate (Entering 10th or 11th grade)  
Previous Manito-wish or other trail experience necessary. Acceptance through invitation or interview. Campers may enroll in more than one trip. Separate gender trips. MUST ENROLL BY: April 15, 2012.
    Session I
June 26
July 15
Session II
July 24
August 12
  Pioneer Quetico Canoeing ***
  Isle Royale Backpacking
  Georgian Bay Sea Kayaking ***
Outpost Advanced (Entering 11th or 12th grade)  
Previous Manito-wish or extended wilderness trip experience required. Acceptance through invitation or interview. Separate gender trips. MUST ENROLL BY: February 15, 2012.
  Saskatchewan "Canuck" Canoeing ***   June 21 - July 31
  Western Backpacking   June 29 - July 31
  Mariner Sea Kayaking ***   June 29 - July 31
Outpost Expeditionary (Entering 12th grade or 2012 high school graduate)  
Previous Manito-wish Outpost experience necessary. Separate gender trips. MUST ENROLL BY: January 15, 2012.
  Expeditionary Canoeing ***   June 21 - August 15
  Expeditionary Backpacking   June 21 - August 15
  Expeditionary Mariner Sea Kayaking ***   June 21 - August 15
    *** Participants must have a CURRENT PASSPORT
  ALL OUTPOST PARTICIPANTS ARE REQUIRED TO HAVE A PHYSICAL WITHIN 12 MONTHS PRECEEDING THE START OF THEIR SESSION
How did you learn about Camp Manito-wish YMCA?
How did you learn about Camp Manito-wish?
If Advertisement (where?)
If Camp fair (where?)
If Friend/Family (who?)
If Other (how?)
Please indicate your Second Choice for a trip
*Required
FEES

Fees include staff, instruction, wilderness trip, meals, lodging, facilities, and transportation between camp and the trip destination. We are happy to offer our families two fee options. You may choose the actual fee or the adjusted fee.

The actual fees reflect the true cost needed to deliver a Manito-wish experience. Because of generous contributions to our Annual Fund Drive and Endowment Funds, we are able to offer families an adjusted fee. Expeditionary level trips reflect a larger difference in the actual vs. adjusted fees because they are the pinnacle Manito-wish experience and are regarded as an outstanding training experience for our future leaders.

Please choose the fee which is most suitable for your family. The fee you choose in no way influences the experience your camper will receive. Payment plans and Camperships (financial assistance) are available. Please contact our office for more information.

Select trip and fee below:

Outpost Voyageur   Deposit $425.00
Outpost Intermediate   Deposit $585.00
Outpost Advanced Saskatchewan "Canuck" Canoeing   Deposit $1275.00
Western Backpacking   Deposit $1130.00
Mariner Sea Kayaking   Deposit $1000.00
Outpost Expeditionary Expo Canadian "Canuck" Canoeing   Deposit $1890.00
Expo Alaskan Backpacking   Deposit $1790.00
Expo Mariner Sea Kayaking   Deposit $1890.00
 
     
Payment Options
Please Bill My * VISA Mastercard
  For Total of All Camp Fees
  For Total of All Required Camp Deposits
If paying deposit only, please select one of the following payment plans:
  No Payment Plan
  Invoice me for the remainder of total fees in March
  Charge my credit card monthly *
  * Equal payments thru April 2012 - if enrolling after March 1st - we will contact you for payment arrangements.
Card No.* - - -  CVV Code *
Cardholder Name*
Expires*
Credit Card Billing Information the same as the Person Financially Responsible Information. Otherwise please complete the fields below.
Card Billing Address*
Card Billing City*
Card Billing State*
Card Billing Zip*
Person financially responsible for camper*:
Name*
Phone*
Address*
City*
State*
Zip*
Relationship to camper:* mother father guardian other

Cancellation policy/agreement:
I hereby apply for my child to attend Camp Manito-wish YMCA. Enclosed you will find the required deposit which I understand will be credited toward the camp fee if my child is accepted for enrollment. I agree to pay the total camp fee on or before April 30, 2012.
I understand that in the event of cancellation:

Particiant Signature
Parent/Guardian Signature



Your order will not be processed until you confirm the information
on the following page. A confirmation email will be sent.

 

 

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