Scandia Camp Mendocino
June 15-22, 2002
Name (s) _________________________________________
Address (es) _______________________________________
Phone (s) ___________________ _______________________
Email address (es)___________________________ ___________________________
How would you like your name(s) to appear on your name badge(s)?
Please mark/check all that apply. I am/we are signing up as:
__Dancer(s) ($525 per person)
__Musician(s) ($525 per person):
Please list instruments:____________________________________
__ Work Scholarship(s) ($300 per person)
__I am applying to Scandia Camp Mendocino for the first time, please enter
me in the $50 discount drawing
I am enclosing $150 per person deposit. Total enclosed:____ Balance
Make checks payable to Scandia Camp Mendocino, and mail with this
Scandia Camp Mendocino, 393 Gravatt Dnve, Berkeley, CA 94705
Include 2 legal self-addressed, stamped envelopes plus this application.
__ Please keep/put me on the mailing list. __ Please remove me from the mailing
Please send information about Scandia Carnp Mendocino to:
Note: Scandia Camp Mendocino offers five $50 registration discounts
to participants attending for the first time. A11 registrations from new
Scandia Campers' received by January 15, 2002 will be put into a drawing
for the discounts. Winners will be notified.