Print and complete this form. Turn it and $5.00 in for a one year membership:.

Name:     __________________________________

Address:  __________________________________

               Camp Dennison, Ohio 45111___________

Phone:    __________________________________

Email:    __________________________________

Optional Questions;
Numer of People in Houshold: Adults_____ Children_____
Childrens age range_____ to _____
Willing to volunteer: ___Yes   ___No

When completed bring to
Mike Howell
7935 Munson St.
or
Judy Havill