Submission Time

Camper First Name

Camper Last Name

Primary Contact Name

Primary Contact Email

Primary Contact Phone

Secondary Contact Name

CourseChoice2

CourseChoice1

T-shirt size

Address 2

Country

Postal / Zip code

Region/State/Province

City

Street Address

Add answer here

Add answer here 2

Street Address Line 2

Primary Contact Relationship

Secondary Contact Email

Secondary Contact Phone

Payment ID

Scholarship donation amount:

I would like to include a donation to the scholarship fund with my deposit.

Your Signature

Enter total online payment (minimum is $50 for deposit). Please be sure to include any scholarship donation amount entered above) then click Proceed t

I would like to pay by check

Payment Method

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c/o John Iannitello

1416 Michigan Ave.

Manitowoc, WI 54220

for minimum $50 down payment (plus any desired scholarship fund donation). ​ Please put camper name(s) in memo line. Spots are not reserved until

Wynncliff, Inc.

copy of Make check payable to Wynncliff, Inc. for minimum $50 down payment (plus any desired scholarship fund donation). ​ Please put camper name(s) in memo

Make check payable to:

Wynncliff, Inc.

Make check payable to Wynncliff, Inc. for minimum $50 down payment (plus any desired scholarship fund donation). Please put camper name(s) in memo lin

Camp Wynncliff

c/o John Iannitello

1416 Michigan Ave.

Manitowoc, WI 54220

Camper birthdate

Notes