Squirrel Moon 2019 Registration Form
Complete this form and mail in your check to register for Squirrel Moon 2019. If you have questions, please email SquirrelMoonReg@gmail.com.
Contact Information
First and last name *
We'll use your first name on your name tag.
Your answer
Partner, kids, others
Use commas between multiple names.
Your answer
Email address(es) *
Use commas between multiple addresses.
Your answer
Phone number(s) *
Use commas between multiple phone numbers.
Your answer
Street address *
Your answer
City *
Your answer
State *
Your answer
Zip code *
Your answer
Full-Time Weekend Passes
Full-time weekend passes include all events and all meals. Children are 15 or younger. Prices increase after August 30.
# of adult weekend passes
Cost: $90/person ($110 after 8/30)
Your answer
# of child weekend passes
Cost: $30/person ($40 after 8/30)
Your answer
2 adults & 1 or more child weekend pass
Cost: $210 ($260 after 8/30)
Part-Time Passes
There is a wait-list for part-time passes for Friday and Sunday. Full-time dancers have preference. We'll confirm after September 8 if there's room. The Friday part-time pass includes dinner.
# of Friday passes
Cost: $25/person
Your answer
# of Sunday passes
Cost: $20/person
Your answer
Accommodations and Food
Note: The bunkhouses often smell musty.
# of nights tenting
Cost: $10/night
# of nights in female bunkhouse
Cost: $15/person/night
# of nights in male bunkhouse
Cost: $15/person/night
What kind of diet will you be following? *
Anything else we should know?
If you are registering multiple people with different diets specified above (veg, gluten-free, etc), please spell that out.
Your answer
Payment
Add up all of the above costs and record the total here. For example:

* The total for the full weekend for 1 adult staying offsite is $90.
* The total for the full weekend for 1 adult staying onsite is $110 (tenting) or $120 (bunking).
* The total for the full weekend for 2 adults staying onsite is $200 (tenting) or $240 (bunking).

Total *
Your answer
Make your check payable to MARY CARLE and mail it to:

Peter Winckles
4018 Tokay Blvd
Madison, WI 53711

We will confirm your reservation and hold your place when your payment arrives. Thanks!

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