YWCA Camp Cavell
Program Registration Form & Membership Form     

Fill in the information below that applies and send or fax to camp.    
We will send you a confirmation letter and receipt to confirm your reservation.

Women's Weekend, Adult Only, & Senior Programs: Please submit one form and deposit per person, each person needs a membership.

Family, & Parent/Child Program:  Please submit one form and deposit for each household attending, each household needs one membership out of the group. 

Fill in the person attending or for a household the key person attending:

 Name  
Address  

 

Please check here if this is a new address within the past year!
Phone Home:                                     Office:  
Cell or Page:
E-mail  
Emergency Person to Contact

Name:                                      Phone:
Relation:   

This section for Family, & Parent/Child Program ONLY!
  Please list everyone attending:  (including contact person (if attending) and infants).

First Name

Last Name 

Sex
(F) or (M)

Age or 
(A) adult
       
       
       
       
       
       
       
       

Program Information:
Program attending:  
Dates attending:  
Where did you hear about CAMP CAVELL?   
 What other Programs might you be interested in?  I.e. Family Weekends,
 Summer Camp, Work Weekends etc.   
Other individuals or families you would like request to be housed with:
 

YWCA of Metro Detroit Membership ( Required):
Just fill in this information to renew or apply for a membership!
Membership / Associate Membership Form
At Adult programs everyone must have a membership.  For Family & Parent/Child program just one person (child or adult) in each household is required to have or purchase a YWCA membership that must be valid at the time of the program you wish to attend.   Sorry, YMCA memberships are not accepted, we are two separate organizations.

Please complete this information:  
Member? Current   Past   New
YWCA branch you wish your membership fee to benefit: Camp Cavell   Other ________________
Past members please also fill in this area...
Branch _____________________ Exp. Date __________ Date you first joined? _________ 
The information below with an * is used for statistical purposes only.
It is requested by funding agencies & is not required for membership.
MEMBERSHIP TYPE: AGE GROUP* ORIGIN * INCOME*

$30  Senior (62+)
 $45  Adult
 $20  Youth(16 and under) 
 $75  Family
 $30  Student (17-23)
 $100+  Supporting 
 $1,000+ Contributing

16(& under)
 17
 18-34
 35-62
 62 +

Asian/
 Pacific Islander
 African- American Black
 Caucasian White
 Multi Ethnic
 Hispanic/Latina
 American Indian
    /Alaskan Native

(below)
 7,500
 10,000
 15,000
 20,000
 30,000
 40,000
 Above

Place of Employment? *                                       Occupation*                                    
Union Affiliation: *

School *                                                              Grade * 
Please fill in the name of the person whom this Membership is for if different than above:
Name  
Address  
  
Phone #s: Home:                            Office:                            Cell: 
E-mail  

Payment choice:   We just need a $45 deposit to hold your spot.  We will send you a confirmation letter.  Balance Due two weeks prior to weekend.
    Money Order
    Check (BEST OPTION FOR CAMP! Make payable to: Camp Cavell)
    Credit Card:  VISA MASTERCARD

Refunds: Deposit is nonrefundable, 50% of other fees refunded if notice is received 24 hrs. prior to program. All refund requests must be made in writing.

Agreement:
We have read and understand this agreement and its contents. We are aware that by submitting this registration form we understand that this is a release of liability and a contract between us and the YWCA and for its affiliated organizations and sign of our own free will. We agree to cooperate with the YWCA Camp Cavell policies & will not hold the camp responsible within reason for sickness or accident incurred in transit or at camp. We give permission to be photographed or video taped & allow YWCA to release said pictures for publicity purposes and understand the YWCA will us them appropriately.  Sorry no pets, alcoholic beverages, illegal drugs, fire arms, smoking in buildings, or open fires allowed.

Let us know what other information you would like:
   Send Camp Brochure about our Programs   Have a camp staff person contact me
  Please add me to your Alumnae List        Contact me about volunteering!
  Send Rental Information for rental by organizations.
 Add me to your Email Newsletters: 
  General  Summer & Day Camp   Rental   Help find Resources for camp!

 CONTACT INFORMATION:
 YWCA CAMP CAVELL, 3335 Lakeshore, Lexington, MI  48450
 Telephone: 810-359-2267    FAX: 810-359-2430  
 Email:cavell@campcavell.org   Website: Camp: http://campcavell.org YWCA:http://www.ywcadetroit.org