Camp Mummichog 2008 Registration Form

Name: __________________________________________

Parents Name: __________________________________________

Address: __________________________________________

City, State, Zip: __________________________________________

Home Phone: __________________________________________

Alternative Phone: __________________________________________

E-Mail: __________________________________________


Session Name & Cost (deposit is $50/session). Please check all of the programs for which you are registering and complete the totals at the bottom of this form.

Marine Adventures ______________
July 7-11, ages 9-12, Cost $160 members / $170 non-members

Wild Wetlands ______________
July14-18, ages 6-9, Cost $160 members / $170 non-members

Birds and Other Flying Creatures ______________
July 21-25, ages 9-12, Cost $160 members / $170 non-members

Insect-mania ______________
July 28–31, ages 6-9, Cost $130 members / $140 non-members

Be Woods Wise ______________
August 4-8, ages 8-12, Cost $160 members / $170 non-members

Wabanaki Ways ______________
August 11-15, ages 9-12, Cost $160 members / $170 non-members

Total Cost ______________

Total Deposit = # programs x $50 ______________

Remaining (Total Cost – Deposit) = ______________

*Add a DRA family membership for $35/year: __________

Mail, with deposit, to:

Damariscotta River Association
PO Box 333
110 Belvedere Road
Damariscotta, ME 04543

Questions: email dra@draclt.org or phone 207-563-1393