2012 Grand Bear Resort
       Registration Form *print, complete & mail to address below
 

       1)  CIRCLE  Dates & Location:

  July 12 - 15
Utica, IL
July 26 - 29
Utica, IL
 

       2)  FILL IN  Registration Info:

            Team Name ___________________________________________________ Levels _______________________________

            Coach’s Name __________________________________ E-mail _______________________________________________

            Mailing Address ______________________________________________________________________________________

            City, State, Zip _______________________________________________________ Phone _________________________

            Total # of Athletes: __________          Total # of Coaches: __________          Total # of Chaperones: __________


      
3)  CIRCLE  # per unit:          # of Athletes                                                # of Adults  *1 adult per 10 athletes required

            Cabin #1             9     10           11     12     13     14     15     16               1        2

            Cabin #2             9     10           11     12     13     14     15     16               1        2

 
           Cabin #3             9     10           11     12     13     14     15     16               1        2

              Villa #1               5       6       7       8                                                            1       

              Villa #2               5       6       7       8                                                            1       

              Villa #3               5       6       7       8                                                            1           

              Villa #4               5       6       7       8                                                            1          

              Villa #5               5       6       7       8                                                            1          

       4)  FILL IN  boxes:                                                                                                                           5)  CALCULATE  Totals

      Pkg. A
3 nights / 3 days
Pkg. B
3 days / 2 nights
  Totals  
# of Cabins   x $1715.00 $1270.00 =  $  
# of Villas   x $  790.00 $  570.00 =  $  
          Camp Fee

 

     
Total # of Athletes   x                      $  145.00   =  $  
Total # of Coaches   x                      $  145.00   =  $  
        T O T A L :  $  
Total Participants   x

                     $    50.00

deposit

=

 $  -  
        B A L A N C E :  $  

       Cabin & Villa Packages are priced separately from the Camp Fee.  The Camp Fee includes one (1) banquet dinner.

       Registration Forms & Deposits are due 5 weeks before your session ($50.00/person non-refundable).  Please send one (1) school
       check or money order.
  Release Forms & Balances are due 2 weeks before your session ($95.00/person non-refundable).  Please
       s
end one (1) school check or money order.  Changes/Cancellations/Refunds may be made up until 2 weeks before your session. 
      
No Refunds will be issued after the 2 week deadline. -- Exception: Reconfiguration of the same reserved units before the start of
       your session. 

       6)  SEND  Forms & Payments PAYABLE to:   SuperCDA   |  P.O. Box 957491   |   Hoffman Estates, Illinois  60195-7491

       Email:  info@supercda.com   Phone:  847.975.5500