Junior Teen 2022

First Name Last Name Email Phone Mailing address City Province Postal Code

Campers Name

Camper Birthdate

Parent/Guardians Name and Number

Health Card Number

Doctors Name and Number

Emergency Contact Name and Number

I grant permission to Camp Okema to use this camper in photos for promotional material for Camp Okema Yes No

I would like to recieve the Camp Okema Newsletter and stay up to date with everything Okema! Yes No

I would like to become a Member of The Okema Society Yes No I am already a member

By signing up for a Family Membership or higher, you are eligible for 15% off registration and 20% off Camp Okema Merchandise!

Preferred Cabinmate

Both you and the other camper must request to be in each others cabin.

Pricing

Junior Teen with Member Discount: $244.00
Junior Teen Camp: $305.00
Junior Teen Camp + Family Membership: $380.00

Help cover the Paypal Fee: $6.00

Junior Teen Tuck: $12.00 An afternoon snack of freezies, candy, chips, pop, etc.