Labor Day Weekend at
Pinewoods

Online Registration

Primary Contact Information

First name:   Last name:   Boston CDS Member   Email address:   Address 1:   Address 2:   City   State:   Zip code:   Day Phone:   Eve Phone  Can you offer rides  When do you plan to arrive mid-afternoon Saturday after dinner Saturday other (specify in notes)  When do you plan to leave after dinner Monday early breakfast Tuesday late breakfast Tuesday other (specify in notes)  Do you need a ride?

Special Info We Need to Know

If anyone in group has a food Allergy please tell us your name and Allergy

Camper Info/Preferences:  List Contact person (from above) and all additional Campers. Please list names as you would like them to appear on badge.

Last Name   First Name Information Age - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 Sex Male   Female Meal Omnivore Vegetarian Special  Housing Roomate(s) Jobs Fee -- $210 Adult $200 Adult Mem $190 (13-17) $180 (13-17) Mem $140 (7-12) $130 (7-12) Mem $100 (4-6) $90 (4-6) Mem $60 (2-3) $50 (2-3) Mem $30 (<2) $20 (<2) Mem Age - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 Sex Male   Female Meal Omnivore Vegetarian Special  Housing Roomate(s) Jobs Fee -- $210 Adult $200 Adult Mem $190 (13-17) $180 (13-17) Mem $140 (7-12) $130 (7-12) Mem $100 (4-6) $90 (4-6) Mem $60 (2-3) $50 (2-3) Mem $30 (<2) $20 (<2) Mem Age - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 Sex Male   Female Meal Omnivore Vegetarian Special  Housing Roomate(s) Jobs Fee -- $210 Adult $200 Adult Mem $190 (13-17) $180 (13-17) Mem $140 (7-12) $130 (7-12) Mem $100 (4-6) $90 (4-6) Mem $60 (2-3) $50 (2-3) Mem $30 (<2) $20 (<2) Mem Age - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 Sex Male   Female Meal Omnivore Vegetarian Special  Housing Roomate(s) Jobs Fee -- $210 Adult $200 Adult Mem $190 (13-17) $180 (13-17) Mem $140 (7-12) $130 (7-12) Mem $100 (4-6) $90 (4-6) Mem $60 (2-3) $50 (2-3) Mem $30 (<2) $20 (<2) Mem Age - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 Sex Male   Female Meal Omnivore Vegetarian Special  Housing Roomate(s) Jobs Fee -- $210 Adult $200 Adult Mem $190 (13-17) $180 (13-17) Mem $140 (7-12) $130 (7-12) Mem $100 (4-6) $90 (4-6) Mem $60 (2-3) $50 (2-3) Mem $30 (<2) $20 (<2) Mem Age - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 Sex Male   Female Meal Omnivore Vegetarian Special  Housing Roomate(s) Jobs Fee -- $210 Adult $200 Adult Mem $190 (13-17) $180 (13-17) Mem $140 (7-12) $130 (7-12) Mem $100 (4-6) $90 (4-6) Mem $60 (2-3) $50 (2-3) Mem $30 (<2) $20 (<2) Mem Age - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 Sex Male   Female Meal Omnivore Vegetarian Special  Housing Roomate(s) Jobs Fee -- $210 Adult $200 Adult Mem $190 (13-17) $180 (13-17) Mem $140 (7-12) $130 (7-12) Mem $100 (4-6) $90 (4-6) Mem $60 (2-3) $50 (2-3) Mem $30 (<2) $20 (<2) Mem Age - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 Sex Male   Female Meal Omnivore Vegetarian Special  Housing Roomate(s) Jobs Fee -- $210 Adult $200 Adult Mem $190 (13-17) $180 (13-17) Mem $140 (7-12) $130 (7-12) Mem $100 (4-6) $90 (4-6) Mem $60 (2-3) $50 (2-3) Mem $30 (<2) $20 (<2) Mem

Make Checks Payable to: CDS Boston Centre Send to: Karen Skoff (Pinewoods Labor Day)          5 Norton Rd         Lexington, Ma 02420 skoffmagid@yahoo.com

Total Fee:$ for entire Group     Deposit $