2023 Michigan Dog Scout Camp Registration Form

Michigan Dog Scout Camp Registration Form 2023
If you have any questions about this form or the camp, visit the MI camp page on the Dog Scouts website as many common questions are answered in the pre-camp material. If you can't find the answer, contact Lonnie at: DogScoutCamp@gmail.com
Cost: $750 for first camper and one dog, $300 for additional family members – camp fee includes tuition, meals and all camp activities (from 9am-9pm) each day but not lodging. First dog included, additional dogs $50 each

Repeat Camper Discount: $75 for 1st family member, $25 for each additional family member (available to campers that have attended the MI camp before)

Early Bird Discount: $75 off full camp fee, for those campers who pay the balance of camp registration fees in full no later than June 1st

Deposit: $100 (required to hold your spot)

Cancellation policy:

Cancellation prior to 60 days before the first day of camp: Full refund minus the non-refundable deposit(s)

Cancellation between 59 days and 31 days before the first day of camp: Refund of half the amount paid (not including the deposits). Note: if you can find someone to take your place, you can get a full refund (minus the deposits) once your replacement pays in full.

Cancellation 30 days or less before the first day of camp: No refunds/no carry over

** The DSA Board of Directors reserves the right to make exceptions to the above cancellation policy on an individual basis.
Camp (or camps) you will be attending:*

Camp 1: August 11-15, 2023Camp 2: August 17-21, 2023
I have read and understand the above payment and cancellation policies*

Yes
First Name of camper #1:*
Last name of camper #1:*
Gender (It's not always easy to tell from a name)*

MaleFemale
Full name of additional family member #1 (AFM1) attending with you at the additional camper rate:
Gender of AFM 1 (and age if a minor)
Relationship of AFM1 to main registrant
Full name, gender, (age if minor) and relationship of any additional family members attending with you at the additional family member rate
Have you attended DSA camp in MI before ("repeat camper"):

YesNo
If yes, what year did you last attend?
Total number of dogs your family plans to bring:
Lodging Preference:*

Bring own tent (with or without 110 electric hook up) $15/nightPrivate Cabin $75/night or $500 for the week (up to 3 people)Bring own RV (site with 30 amp electric) $20/nightRV site (with 50 amp service) $25.00 per night (only one 50 amp site available)Shared Room in lodge $20 per night/per person (Shared room is defined as a group room with 2 to 4 people sharing or willing to share with 1-3 others. If you are by yourself, you need to get a private room)Private Room in lodge $40/night (up to 2 people)I'll make my own reservation at the motel in town (12 min. away)
Number of nights you need lodging (most people arrive the night before camp starts and you have the option of staying an extra night to get an early start to travel home).
DSA membership*

My/our membership will already be current during campI/we will join DSA or renew membership PRIOR to camp
E-mail Address (for important pre-camp information):*
Re-type E-mail for verification*
Address (include zip +4)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Cell Phone Number

Area CodePhone Number
Do you have any dietary concerns we should be aware of? (peanut allergy, vegetarian, don't eat red meat, etc.)
Do you have any health concerns we should be aware of? (diabetic, heart condition, seizures, allergy that requires epi-pen, etc.)
Emergency Contact name (someone not attending camp with you):*
EMERGENCY CONTACT'S Phone Number (where we can reach them while you are at camp)*

Area CodePhone Number
Relationship of the emergency contact to you:*
List emergency contact info here if it is different for your other family members:
I agree to read the pre-camp material on the website so I am prepared for camp and understand the rules prior to arrival*

yes
Dog Information
Dog #1- Call name/breed as you would like it to appear on your name tag (sorry, we don't have room for long names): You can list "mix" or up to 3 breeds if your dog is not a single breed.*
Dog #2- Call Name/breed (ONE dog is included in the main camp fee. Each additional dog is $50 each)
Dog #3- Call name/breed (Note- 1st year campers will need special permission to bring more than 2 dogs)
Number your additional dogs and list their call name(s)/breeds
Let me know which dog goes with which human's name tag if you have more than one family member attending
For each dog, list their gender, intact or altered, age at time of camp and if the dog's birthday will be during camp.*
Name(s) of dog(s) you are bringing that have NOT yet earned the Dog Scout title (so we can add them to the Dog Scout class roster):
Dog' #1- general level of training*

noneBasic/Novice levelIntermediateAdvanced
Three activities or dog sports you do fairly often with Dog #1*
Dog' #2- general level of training

noneBasic/Novice levelIntermediateAdvanced
Three activities or dog sports you do fairly often with Dog #2
Dog #3's general level of training

NoneBasic/Novice levelIntermediateAdvanced
Three activities or dog sports you do fairly often with Dog #3 (include any additional dogs as well)
Is/are your dog(s) quiet and calm if left unattended? If your dog makes a loud fuss if left alone, you'll need to choose lodging other than a private room/group room in the lodge or bring a friend or additional family member with you to stay with the dog while you shower or do a craft or go through the food line. If you bring more than 1 dog, you'll need to be able to work with them one at a time during classes. Dogs may not be tethered to anything except a human*
List any issues your dog(s) may have with other dogs (or put none):*
Have any of the dogs you plan to bring ever snapped at or bitten anyone (even minor bites)? If yes, please explain:*
Have any of the dogs you plan to bring been attacked by another dog, tried to bite another dog or caused injury to another dog? If yes, please explain:*
Anything you want to add about your registration?
Payment Information

Note: You must pay at least the non-refundable deposit(s) to reserve a spot at camp

Full payment of all camp fees (including lodging and extra dog fees) is due no later than 2 weeks before the start of your camp

Payments toward your balance may be paid with a credit card below or sent by check or money order to (make a note of this address):

DSA Camp

5210 Nestel Road East

Saint Helen, MI 48656
Be sure to note which payments have quantity options (especially the number of nights of lodging) and select the proper number.
My Products
prevnext( X )
Deposit (non-refundable) for 1 camper and 1 dog$100.00
Required to hold you spot. Unless you have already paid a deposit you must select this.

One or both camps?

Deposit (non-refundable) for each additional family member$100.00

Family MembersOne or both camps

Tuition - FIRST TIME camper$650.00
Deposit NOT INCLUDED. Make sure to add deposit if you haven't paid that already.

Early bird discount (if paid by June) One or both camps?

Tuition - Repeat Camper$575.00
Deposit NOT INCLUDED. Make sure to add deposit if you haven't paid that already. Includes repeat camper discount.

Early Bird Discount (if paid by June 1st)One or both camps?

FAMILY MEMBER (with First Time Camper)$200.00
Deposit NOT INCLUDED. Make sure to add deposit if you haven't paid that already.

Number of Family MembersOne or both camps?

FAMILY MEMBER (repeat camper)$175.00
Deposit NOT INCLUDED. Make sure to add deposit if you haven't paid that already. Repeat camper discount applied.

Number of Family MembersOne or both camps?

EXTRA DOG FEE$50.00
One dog included in camp fee

Number of extra dogsOne or both camps?

Tent site with or without 110 electric$15.00

Number of Nights

RV site with 30 amp electric$20.00

Number of Nights

Group Room in Lodge$20.00
per person/night

Number of Nights

Private Room in lodge (up to 2 people) $40.00
per night

Number of Nights

RV site with 50 amp electric$25.00

Number of Nights

Private Cabin$75.00
$75 per night or $500 for 7 nights

Nights

Total $0.00
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Michigan Dog Scout Camp Registration Form 2023