Gateway Partnership and Smith River Alliance


2007 Day Camp Registration Form


Please print and fill out a separate registration form for each child. Additional information will be sent to you upon receipt of all forms received with payment.


Registration Deadline: July 4, 2007
Camp Dates: July 30 - August 3, 2007


Name


Address


City


Telephone


Cell Phone


Parent’s Name


Price: $75.00



Make checks payable to Gateway Partnership-Education and send to:
Gateway Education
1995 Northcrest Drive
Crescent City, California 95531