Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

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Lodging preference *

Bayview Lodge

Poolside Lodge

Victorian Hotel (private bath)

Victorian Hotel (public bath)

The Marsh/Captain's Deck (staff from last 3 years only)

Shared bunk room (singles)

Saturday only, no lodging (family)

Saturday only, no lodging (individual)

Room needs

Extra cot bed

Crib ($10)

Mini-fridge ($25)

Dietary needs

Vegetarian

Gluten-free

Dairy-free