To use this form, click your print button and print the page.  Fill it out and mail as directed below.

My child / children _______________________________ would like to attend:             

                         DAY CAMP

June 6 - 10  _______  Car Rider ____  Harpeth Valley Van    _____ 

June 13 - 17 _______ Car Rider ____ Harpeth Valley Van     _____  

June 20 - 24 _______ Car Rider ____ Harpeth Valley Van     _____ 

June 27 - July 1   _______ Car Rider ____ Harpeth Valley Van     _____

July 5 - 8 _______  Car Rider ____  Harpeth Valley Van      _____   ( 4 day camp )

July 11 - 15 _______  Car Rider ____  Harpeth Valley Van    _____ 

I have called and talked with Judy Mullin to make a reservation for my child / children to attend camp, and I am confirming the reservation with this form and deposit check.  If at a later date my child / children choose not to attend, I understand the deposit is non-refundable. 

Enclosed is a deposit check for ____________________. ($75.00 DEPOSIT PER CHILD PER WEEK)                                                                     

When your child has been registered you will be sent a General Information Sheet and a Consent and Release Form to fill out and return to U-Grow Adventures. A map to Camp U-Grow will be included.

Parent Signature                                               Phone No.                         Date

____________________________                     ____________                 ________________

Address ________________________________________________________________________________

Contact person at U-Grow Adventures: Judy Mullin  (evenings 595-0356)

Send form and registration fee to: