Search Pagan Institute: This free script provided by JavaScript Kit Mailing Addresses CUUPS-TwinCities c/0 FUS 900 Mt. Curve Ave. Minneapolis, MN 55403 The Pagan Institute P.O. Box 6809 Minneapolis, MN 55406

2009 Labor Day Weekend Retreat Camp Dates: Friday-Monday September 4-7 This form was updated on August 6; please refresh your browser. If you have not read the information on the Camp page, please review the information there before submitting this form. For more information, please contact Amy, CUUPS Secretary Pricing Payment is due (either postmarked or received) no later than August 25th. A Late Fee of $25.00 will be charged for payent postmarked after August 25 or, received later than August 30. Adults (12 and older) $60.00 Children (5 to 12) $25.00 Children under 5 No Charge! Please make your check payable to CUUPS-TC, and, mail to: CUUPS-TwinCities c/0 FUS 900 Mt. Curve Ave. Minneapolis, MN 55403 Please remeber, this is NOT a "Clothing Optional" event. Hover your mouse over this Button for more Field Information. Fields marked with an * are required. For which camp are you registering? * This item will change according to the available Camps. Memorial Day Labor Day First Name: * Please use your legan first name. Last Name * Please use your legal last name. e-mail address * For multiple addresses, please separate with a comma. Street * If applicable, add your apartment/unit # City * Your city name. State * If other than Minnesota, please use the common 2 letter abbreviation. Zip Code * Either 5 or 9 digit. Please format 9 digit as XXXXX-XXXX Primary Phone # * Please format as XXX-XXX-XXXX. Alternate Phone # Please format as XXX-XXX-XXXX. Emergency Contact Name * This MUST be someone NOT at Camp! This MUST be someone NOT at Camp! Emergency Contact Phone # * This # MUST be for the person listed as the "Emergency Contact." This # MUST be for the person above. How many adults in your party? * 18 or older. 1 2 3 4 5 If more than 1, enter each name on a separate line. * First and last names. Full name on a separate line How many minor chilsren (under 18) are in your party?Minor children are those under 18 years of age. 0 1 2 3 4 If you entered more than 0... * Please enter each minor's FULL anme and AGE on a separate line Full name and age on a separate line Are you bringing a dog or dogs? * Pets are restricted to dogs, with a maximum of 2. No Yes If so, how many? (limit 2) * Pets are restricted to dogs, with a maximum of 2. 0 1 2 Any Allergies? * Do you, or anyone in your party have food or other allergies? Please note the person's name and allergies in the next cox No Yes Please list any allergies. * Please enter each preson/s name and allerrgies on a separate line. Note allergies here. Special Needs? * Do you , or anyone in your party, have special needs such as mobility, hearing, or, visual difficulty? No Yes Please describe * Please note the name and needs of each person on a separate line. Note special needs here Would you like to contribute to the Camping Fund? * This Fund will help cover the cost for those receiving Camperships and other overhead. Yes No If Yes, how much? Please format as XXX.XX Do you need a Campership? * The amount of camperships awarded will depend on the number of campers and the amount donated by campers. No Yes "Shared Responsibility" Agreement I understand that CUUPS Camp is a cooperative venture and will volunteer time to make it happen. I agree that CUUPS-TwinCities and its officers are not responsible for my possessions, welfare, pets, or children at CUUPS Camp. I undrestand that parents are responsible for their childrens' well being and behavior. No child under 12 may be left alone at the campsite. I agree to abide by the regulations of the park while attending CUUPS Camp. http://www.dnr.state.mn.us/state_parks/rules.html. I agree that, in addition to the park regulations, all dog owners MUST provide proof of current rabies vaccination. All dogs MUST be walked by an adult. All owners are required to provide and use an adequate ground stake and tie out (not to exceed 10 feet) for EACH dog. Dogs MUST be tied out except when being walked. Dogs MAY NOT be left unattended. If necessary, owners are responsible for controlling excessive barking with the use of a muzzle. I agree that I will not bring firewood, guns, alcoholic beverages of any kind, or, non-prescription drugs (except for common over the counter medications) into the park. I have read and agree to the "Shared Responsabilities" Agreement * This agreement helps insure a smooth running camp. No Yes I certify that all the information on this form is correct.This item protects you and CUUPS TwinCities No Yes Comment or Question * Questions and Feedback are always welcome. We have instituted the use of a CAPTCHA challenge to insure these forms have been submitted by a Human Being. Please type the letters and numbers shown in the graphic below. For security purposes, please type the letters in the image. Generated by phpFormGenerator Thank you for Registering! Have a Great Camp!

updated August 6, 2009

e-mail sent from outside this site will not be processed. Use the forms listed below to contact us. Click HERE to RSVP for other CUUPS events. Click HERE for the General Contact Us! form Click HERE for CLASS Registration. Click HERE to subscribe or unsubscribe from any of our 'zine notification lists. CUUPS logo is a service mark of Covenant of Unitarian Universalist Pagans, Inc. The NewsWiz graphic is ©2002 Christa Landon, all rights reserved. The Flaming Chalice is the symbol of the Unitarian Universalist Association; all other graphics, except where specifically noted, ©2003, 2007 Christa and Tom Landon. Due to past theft, images on some pages require the free Adobe Flash Player/Browser Plugin. Sphinx image courtesy of Talaria. with help from Jenn G. The Pagan Institute serves educational and religious purposes and does not endorse candidates or political parties. All opinions expressed are those of their respective writers, and not necessarily held by the Pagan Institute, CUUPs-TwinCities, the editor, or the Goddess! Links Policy: We will not knowingly link to a site promoting hate, supremacism, or pornography. We reserve the right to refuse linkage. We invite banner exchange. Editor: Christa Landon Webmaster: Tom Landon Addresses: The Pagan Institute, P.O. Box 6809, Minneapolis, MN 55406, CUUPS-TC c/o FUS, 900 Mt. Curve Ave. Minneapolis, MN 55403