Registration 2012
Please print or type

Name
Address
City
State/Zip Code
 State Zip Code
E-mail address
Emergency contact
Rooming, I want a:
 Single room Double room
Do you have a roommate?
If so, who?
2011 Camp/2012 Camp (Please circle camp year)

Dates I will be attending camp

Please return this form with you registration fee of $50.00
(Write date on your check memo)
Make check or money order payable to:

Northwoods Quilt Camp
9291 East County Road A
Solon Springs, Wisconsin 54873