To register, please print out the form after filling in all information. Please remember to include payment.
MDH Fall Camp Registration Form
Use one form per person.
Male Female
Name:
Address:
City: State:
Zip: Phone:
e-mail:
Please do not print my address, phone, e-mail on camp participant list
Dietary Preference and allergies:
Housing:
Female Male Coed Camping
Payment
Please enclose payment with registration!
$125 (before July 15, 2008)
$145 (after July 15, 2008)
$65 /$75 (support staff or scholarship)
Make checks payable to MDH
Mail Registration Form and Check to:
Michigan Dance Heritage
c/o Diane Seaman
14427 Penrod
Detroit, MI 48223
