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2022 Camp Membership Enrollment Form

Please fill out the following information and choose the club(s) and/or package(s) for 2022.

First Name

Last Name

Has your contact information changed? (Address, phone, email)

Yes (Please write in your new information in the box below).

Updated Contact Information Here:

Camper(s)

I have read and agree to: the 2022 Membership Agreement, the 2022 Contract of Care, the 2022 Health Requirements, and the 2022 Holiday Hours & Policies.

Yes, I have read and agree.

Clubs:

I choose the same Clubs/Packages as I had in 2021.

-or-

Please Pick Main Club:

Barker's

Best Buy:

Choose Fido, then choose Digger as additional.

Optional Packages (Any combination OTHER than a single and a double of the same package):

Payment:

By checking this box, I confirm that CCI can charge the card on file for the total purchase price of the clubs and/or packages I have selected.

Do NOT charge my card on file, I would like to use a different payment method.

If you have multiple cards on file, then please provide the last 4 digits of the card you would like us to charge:

By submitting this form, you are agreeing to all Camp Canine, Inc. Membership Requirements and to a perpetual Contract of Care for Day Camp, Overnight stays, or any other services provided during 2022. The completion of the membership for 2022 is a legal and binding contract with CCI and veterinarians engaged by CCI. Once accepted and payment is made, contract of care for 2022 will commence and end January 31, 2023. Cancellation of Membership is nonrefundable and must be provided in writing to CCI. If you have the Monthly Mutt Club, cancellation must be provided in writing AND 30 days notice must be given. Thank you for completing your 2022 Membership with Camp Canine, Inc. Please sign, date and submit. This form is not to be duplicated or copied.

Please type your name to agree.

Select a date

Thanks for completing the 2022 Membership form!