CAMP LUCY REGISTRATION FORM

A Registration Form must be filled out for each individual attending so you may need more than one form. Families, mail your forms in together. Return this form with the signed Camp Lucy Rules, Waiver of Liability Form and current Rabies Certificate for each dog attending camp.

Name:      Your age:     Gender:  Male Female

Spouse/Partner/Friend's name:      Your spouse/partner/friend's age:     Gender: Male Female
Must be 14 years or older to attend


Minor(s):     Gender/age:
Must be 14 years or older to attend
Minors (under age 18 must be accompanied at Camp by a parent or Guardian):   Parent or guardian if under age 18:


Email address: 

Mailing address: Street

City/state:

Zip:

Your dog(s) will be staying with you in your cabin. You should bring a crate or small pen for your room to keep your dog safe when you are not with your dog. Camp is shared housing accommodations so there will be other dogs sharing the cabin.

Does your dog(s) require a bandanna? No Yes   How many:    For bandanna information click here.

Accomodation choice:  Tent(Bring your own) RV Motel(cost not included) Shared housing   

If you would like the same cabin as last year, please tell us your cabin number here  

For shared housing indicate names of roommates you would like to have: 

Price: $200 per person
Camp Price includes all activities, and all meals (Friday Sept. 11 Dinner to Sunday Sept 13 Dinner)
Number of people registering: 

Total remitted:  Payment method: Check Paypal    Paypal can be paid here



If paying by check, please enclose your payment in full with completed Registration Form AND Signed Release & Waiver Agreement AND signed Camp Lucy Rules and Policies Form and mail to:

Camp Lucy
c/o Dee Rudd
446 High Street
Hampton, NH
03842

If you are unable to attend Camp Lucy but would like to make a donation, you can mail it to the same address.