Summerland 2006
August 24 - 26, 2006

Pre-Registration cut off date is August 6, 2006.

A paying parent or legal guardian must accompany all children under 18 years of age.

This form must be postmarked by August 6, 2006.

# of adults at $50.00 -----------------------------------------------------------$_________

# of children 7 to 17 at $10.00--------------------------------------------------$_________

Options, place an "X" in the space:

(   ) I want to rent a cabin at $40.00-------------------------------------------$_________

(   ) I want to reserve a bed in a cabin at $10.00 per bed ----------------------$_________

(   ) I want to reserve a Merchant's Space at $25.00 per space ------------------$_________

(   ) I want to reserve a Saturday Day Pass at $20.00 each ----------------------$_________

Total Due -----------------------------------------------------------------------$_________


Your Legal Name: ______________________________________________

Your Address:

Street: __________________________________________________________

City: ________________________ State:_______ Zipcode: ______________

Email: ______________________________________

Are you a vegetarian? Yes _______ No _______


Make your check payable to: The 6th Night Grove, ADF


Mail your check along with this form to:

The 6th Night Grove, ADF
PO Box 1521
Dayton, OH 45401