25th Anniversary of Songadeewin on Lake Dunmore Your Information - Primary RegistrantName of Primary Registrant* First Last Email of Primary Registrant* Enter Email Confirm Email Phone of Primary Registrant*This is a:* Cell phone Home phone What was your first year at camp?* How long will your party be at reunion?*Please tell us when your party will join us for the 25th Anniversary Songa reunion! (Note: Fee for children ages 9-17 shown below, Children ages eight and under stay for free). If you are joining us for the day only, please fill out the form and you'll be able to pay on site. Whole Reunion - Two Nights (August 25 & 26, 2023- $210/Adult, $110/Child) Single Night (Friday, August 25, 2023- $120/Adult, $55/Child) Single Night (Saturday 26, 2023- $120/Adult, $55/Child) Daytime only (Friday, August 25 - $75/Adult, $55/Child - PAY ON SITE ) Daytime only (Saturday, August 26, 2023 - $75/Adult, $55/Child- PAY ON SITE ) ) Daytime only (Sunday, August 26, 2023 - PAY ON SITE ) Adults in your partyPlease indicate the total number of adults in your party, and then list the names of those other than the primary registrant below. How many total adults are in your party, including yourself?*Adults are ages 18 and up! 1 2 3 4 5 6 7 8 How many total adults are in your party, including yourself?*Adults are ages 18 and up! 1 3 4 5 6 7 8 How many total adults are in your party, including yourself?*Adults are ages 18 and up! 1 2 3 4 5 6 7 8 Please list the names of the adults in your party, other than yourselfUse the "+" to add multiple adults Children in your partyPlease indicate the total number of children in your party, and then list their names and ages below. How many children ages 9 to 17 are in your party?* 0 1 2 3 4 5 6 7 8 How many children ages 9 to 17 are in your party?* 0 1 2 3 4 5 6 7 8 How many children ages 9 to 17 are in your party?* 0 1 2 3 4 5 6 7 8 How many children under 8 years old are in your party?*Children under 8 stay for free! 0 1 2 3 4 5 6 7 8 Please list the names and ages of all the children in your party(first & last name, age) Use "+" to add names Do you have any children (under age 18) in your party whose parent / guardian will not be present?* Yes, I do. No, I do not. Dietary RestrictionsPlease indicate if anyone in your party has any food allergies or special dietary restrictions. Our kitchen team will do its best to accommodate individuals, but it is imperative they know in advance to have the appropriate food on-hand. If yes, please select the number of people in your party for each of the categories. Does anyone in your party have any food allergies or dietary restrictions or health conditions requiring treatment, restriction, or other needed accommodations while on site?*NoYESGluten FreeHow many in your party are gluten free?012345678910Dairy FreeHow many in your party are dairy free?012345678Egg freeHow many in your party cannot eat eggs?012345678Shellfish FreeHow many in your party cannot eat shellfish?012345678Nut FreeHow many in your group cannot eat nuts?012345678VeganHow many in your party are vegan?012345678VegetarianHow many in your party are vegetarian?012345678OtherPlease list any other dietary restrictions, allergies, or other necessary details. Emergency ContactPlease provide information for a contact in the event of an emergency. This person must not be a member of your party at the reunion. Emergency Contact's Name* First Last Relationship* Emergency Contact's Phone Number*Covid-Related PoliciesBy checking the box below, I acknowledge that I, and all members of my party, have received the primary series of the Covid vaccination. I understand that I must take a Covid test before arrival the day I arrive at Songadeewin. Please only attend the reunion if healthy!* I, and any other members of my party, have read and agree to abide by the vaccination policy and testing policy outlined above. Payment InformationTotal Due TodayIf you need to cancel, please do so before August 18 for a full refund. $0.00 Billing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Credit Card* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Expiration Date Security Code Cardholder Name We look forward to seeing you! You do not need to pay for your day visit at this time, you can pay on site when you get to Songa!Privacy Policy* I have read and agree to the Keewaydin Privacy Policy Risk agreement Policy*By signing this agreement, I acknowledge and assume risks inherent in Keewaydin Foundation’s (“Keewaydin’s”) programs and facilities and I am further releasing Keewaydin and other associated persons from liability arising out of my participation or any other members of my family registered in such programs, as well as waiving my legal right to assert any claim and/or sue Keewaydin in recovery of damages suffered therefrom. I have read and acknowledge the Risk Agreement Policy CAPTCHA
