2012 Camp Guggenheim Registration Form
The Roman Catholic Diocese of Ogdensburg

- Deposit: All Registrations must include a non-refundable $100 deposit which must be paid after you fill out this form. You will be forwarded to a secure Credit Card checkout after this form. -

Camp Guggenheim 2012 Schedule
12 - 15 year old
Week 1: June 24th - June 29th
Week 2: July 1st - July 6th
Week 3: July 8th - July 13th
Week 4: July 15th - July 20th
Week 5: July 22nd - July 27th

16 - 18 year olds
Week 6: July 29th - August 3rd

Please indicate which week would you like to attend: Week 1 Week 2 Week 3 Week 4 Week 5 Week 6 (Week 6 is 16-18 yr olds only)

Camper Name
Parent/Guardian Names
(Mailing Address) Street
City, State, Zip, County
Home Phone Number
Cell Phone Number
Email Address
Sex	----- Male Female
Age (at camp)
Date of Birth	January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
Parish
Please list the Card Holder's Name on the Credit Card which you will use to pay your $100 Deposit.

In approximately 3 weeks you’ll receive confirmation of your reservation along with the information
and registration packet. All forms are also available online at catholiccamps.org. If you can
print the forms please indicate below.
-- Yes No I am able to print my own forms. Please do not mail me the registration packet!