REGISTRATION CERTIFICATE
Mail To: BAR-L RANCH
2381 Hwy 25
Guthrie Center, IA 50115
(641)747-9969

Camper’s Name ___________________________
Address ___________________________________
City _______________________________________
State _______________ Zip _________________
Phone # ___________________________________
____Boy _____Girl
Age__________
Parent’s Work Phone # ___________________

2010 CAMP SCHEDULE
Cost: $485.00 per week
A $125 deposit per week per camper is required.
(Balance of $360 due upon arrival.)

Please indicate date of attendance:
____________________

BAR -L RANCH RESERVES THE RIGHT TO
REQUIRE A MINIMUM OF 10 CAMPERS
I have enclosed ________ to apply on the
above checked camp period. This is a
non-refundable deposit. No deduction will
made for late arrival or early withdrawal.
Balance due upon arrival.
Upon receipt of application, you will be notified
by mail.

Signature of parent or guardian
_______________________________________