You are hereRegistration for Camp Millie Gaylord

Registration for Camp Millie Gaylord

By Nan Melke - Posted on 25 July 2016

Complete the following form to register for Camp Millie.

Your registration is not complete until payment is received via paypal or check. Follow instructions upon completion of the registration form.

First Name: *

Last Name: *

Street Address: *

City: *

State: *

Zip Code: *

Phone Number: *

Email Address: *

Vegetarian?: *

yes

Candidate?: *

yes

If candidate, office sought & year of election:

Campaign Staff: *

yes

How did you learn about Camp Millie?: *

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