Registration

Arrow Rock Quilt Camp
April 30 – May 4, 2018

Name__________________________________________________________

Address________________________________________________________

_____________________________________________________________

Telephone____________________Email______________________________

  • T-shirt size:  (complimentary)     S   M   L    XL   2XL   3XL  4XL

Lodging:   I want  (     ) Camp registration with single room:   $800.00 

Or  (     ) Camp registration as shared room                                                                                                                         (2 beds, sharing bath): $700.00  

Roommate / Lodging request ___________________________________

 Or     (   ) I do not need lodging ~~  Camp Registration:  $500.00

Choose three classes / or one class three days / or one class for two days + one 
_______  “To be Announced” – Klonda Holt
_______  “To Be Announced” – Candyce Grisham
_______  “Mystery Quilt”  – Mary Durham
_______   “Hand Work- to be Announced”  – Shelly Pagliai ************************************************************************************
Release of Liability:  I assume the risk of the activities at Arrow Rock Quilt Camp and waive any right to file a claim against Arrow Rock Quilt Camp, its employees and volunteers for injury, loss or damage to me or anyone accompanying me for any reason.

Emergency contact number:  _____________________________________

Signed:____________________________________________________

To Register:  Print & complete this form ~ send it along with $100 deposit.  The total payment will be due before March 1, 2018  –     Please make check payable to “Arrow Rock Quilt Camp” and mail to:     Paula Blevins, PO Box 142, Arrow Rock, MO 65320