Arrow Rock Quilt Camp
April 29 – May 3, 2019





  • 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

Indicate your choice of classes and number of days taking the class
_______  “Tutti Frutti” – Klonda Holt
_______  “Curved Log Cabin” – Candyce Grisham
_______  “Mystery Quilt”  – Mary Durham
_______   “Handwork”  – 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:  _____________________________________


To Register:  Print & complete this form ~ send it along with $100 deposit.  The total payment will be due before March 1, 2019  –     Please make check payable to “Arrow Rock Quilt Camp” and mail to:     Paula Blevins, PO Box 142, Arrow Rock, MO 65320