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Partner Camp Billing Information
Camp:
Reynal
I-Thonka-Chi
TLC
MDA
Moss
Sanguinity
Jubilee
Ailihpomeh
Esperanza
Joint Adventure
Broncho
Your Name:
*
First
Last
Your Email
*
You will receive a copy of this information.
Bill Recipient Contact:
*
Please provide name, e-mail or address information.
Participant Information
# of Campers:
*
# of Volunteers (Non-Medical):
*
# of Medical Staff:
*
# of Extra Meals:
*
$5/meal: Includes any day visitors who stay for a meal.
If there are none, please enter 0.
Program Expenses
These will be calculated based on pre-camp orders or # of participants.
- Arts & Crafts: $2 per participating camper. If your program did not use CJM crafts, there is no charge.
- Snacks: $2
- Plast Nametags & Holders: $2
- Party Night Shirts: $5
- Leather Name Tags: $2
Camper Demographics
Please enter the following information regarding which partnering organization campers attend.
If there are none, please enter 0.
Children's Health Campers:
*
Children's Health Staff/Volunteers:
*
Cook Children's Campers:
*
Cook Children's Staff/Volunteers:
*
Scottish Rite Hospital Campers:
*
Scottish Rite Hospital Staff/Volunteers:
*
Other Partnering Organizations:
*
If your campers and volunteers come with another partnering organization, please list it below.
Partnering Org:
# of Campers:
# of Staff/Vol
Weekend Camp Cost
This is the number that will be used to calculate participant cost.
- 4 meals: $75 per person
- 5 meals: $80 per person
- 6 meals: $85 per person
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