Cost: $190.00 per person & one dog, per weekend; $10 per extra dog per weekend (to cover prizes/gifts). To Reserve: $50 deposit per person. Balance due one month prior to camp. Cancellation: up to two weeks prior, full refund of deposit; thereafter, no refund of deposit. If I cancel for any reason, entire deposit refunded. Fee includes all camp activities; meals; accommodations in multiple-occupancy cabins.

                                           REGISTRATION FORM AND WAIVER

              [    ]  JUNE SESSION    [   ]  SEPTEMBER SESSION    [    ]  BOTH!

WAIVER: I, the undersigned, am not a dog snob, nor am I a whiner, although I may have whined in the past. In consideration of my acceptance into Maian Meadows Dog Camp, I hereby release Camp Director, Rebecca Wallick, and her agents and volunteers, from any and all claims and liabilities arising from or in connection with my, and my dog's, participation in dog camp, including dog bites, squirrel bites, and camp activities. I, as a condition of being allowed to participate in dog camp, agree to assume all risk of personal injury or loss of or damage to property.

DATE:_________________        SIGNATURE:__________________________________________________

DATE:_________________        SIGNATURE:__________________________________________________

SIGNATURE OF PARENT OF MINOR PARTICIPANT:____________________________________________

REGISTRATION AND CONTACT INFORMATION:

NAME_____________________________________________________________  [   ] ADULT    [   ] MINOR
ADDRESS________________________________________________________________________________
CITY_______________________________________ STATE________________________ ZIP____________
EMAIL ADDRESS__________________________________________ PHONE_________________________
SHARING CABIN WITH: ____________________________________________________________________

OR: [     ] PLEASE HELP ME FIND A CABIN MATE!

BREED(S) AND NAME(S) OF DOG(S):_______________________________________________________________________________
DEPOSIT ENCLOSED ($50 per person) $___________________________.

Please print, complete and mail this registration and waiver, along with your deposit, to: Maian Meadows Dog Camp, 9605 NE 121st Lane, Kirkland, WA 98034. Make checks payable to Maian Meadows Dog Camp.