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Group Registration
Your Name
(Required)
First
Last
Your Email
(Required)
Your Phone Number
(Required)
Number of Women in My Group (Including Myself)
(Required)
Select Number
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Will your group stay in one of Camp Chautauqua's cabins or will you make your own arrangements off campus?
(Required)
We will stay in one of the cabins
We will make our own arrangments off campus
Women In Your Group
(Required)
Please enter the information for each woman in your group (including yourself). Use the + icon to add additional women to your group.
NAME
EMAIL
DIETARY RESTRICTIONS
ART WITH JULIE ($20) or COOKING WITH WALDA
T-SHIRT SIZE (S-3XL)
T-SHIRT COLOR
Art
Cooking
S
M
L
XL
2XL
3XL
Carolina Blue
Berry Pink
Add
Remove
How Many Women Are Doing Art With Julie?
(Required)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Pricing Per Person
Early Bird Registration $125
Art With Julie $20
Off Campus Lodging Discount -$10
Total Cost
Price:
$0.00
If you would like to make your payment via credit card or another supported electronic payment method, you can use the form below. If you would like to make the payment with cash or check please submit this form and we will contact you to make further arrangements.
Please note we can not finalize any registrations in your group until the full payment has been received.
Credit Card
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