Clone of Smith Mickey Reunion

1

Name* This field is required.

First Name

Last Name

2

Email* This field is required.

example@example.com

3

Phone Number* This field is required.

Please enter a valid phone number.

4

Does your group plan to lodge at the camp?* This field is required.If some of your group is lodging and some are only attending for the day, you will need to register separately.

YESNO

5

Which day(s) will your group be attend?* This field is required.

6

Tell us who is attending that are over the age of 5!* This field is required.Day Fee = $13 per person per day Please list names and ages

7

Are there any children in your group under 5 years old?* This field is required.Children under 5 years old are free

YESNO

8

Who is attending under 5 years old?Name(s) and age(s)

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Choose your lodging option* This field is required.

Dorm Room (Sleeps up to 8)

Full Hook-up RV Spot ($56/night)

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RV Camping: Which night(s) will you be lodging?* This field is required.

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RV Camping: Tell us who is coming!* This field is required.Names & Ages

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Choose Group Size* This field is required.Only include people over the age of 5

2-4 People ($55 per person per night)

5-8 People ($40 per person per night)

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Dorms: Tell us who is over the age of 5 is lodging!* This field is required.Please list names and ages

14

Lodging: Are there any children in your group under 5 years old?* This field is required.Children under 5 years old are free

YESNO

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Tell us who is under the age of 5 is lodging!Please list names and ages

16

Which night(s) will you be lodging?* This field is required.

17

Will your group be participating in camp meals?* This field is required.Meals are $11.50 for ages 13+, $8.50 for ages 5-12, and free for ages under 5

YESNO

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How many people 13+ will be participating in these meals?* This field is required.

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Check Meals for Ages 13+* This field is required.$11.50 per meal

Friday Dinner

Saturday Breakfast

Saturday Lunch

Saturday Dinner

Sunday Breakfast

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How many ages 5-12 will be participating in these meals?* This field is required.If none please enter 0

21

Check Meals for Ages 5-12* This field is required.$8.50 per meal, Kids under 5 eat FREE!

Friday Dinner

Saturday Breakfast

Saturday Lunch

Saturday Dinner

Sunday Breakfast

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Please notify us of any food allergiesClick next if this does not apply to your group

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Total Day Fee CostTake this total to the next page to send payment

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Total for RV CampingTake this total to the next page to send payment

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Total for Dorm LodgingTake this total to the next page to send payment

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Dorm Lodging + Meals TotalTake this total to the next page to send payment

27

RV Camping + Meals TotalTake this total to the next page to send payment

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Day Fee + Meals TotalTake this total to the next page to send payment

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Choose How To Pay

Pay Now by Venmo or Zelle

Pay By Mail In Check

Pay At The Reunion

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Send to: smithmickeyreunion@gmail.com

Send to @Tammy-Riebe-SMR

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Make check payable to Smith Mickey

Please send to the following address:

Donna Washam

111 Jefferson St

Mt. Vernon, MO 65712