Private Room Registration Pug Camp is August 24-26, 2018. Reservations are non-refundable. This registration form is for private room registrations only. All Private Rooms have one double bed only. There are no single beds. Off-site or Day-Tripper Registration | Bunk Registration Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Phone*Email* Enter Email Confirm Email Gender*MaleFemaleAbout Your Dog(s)Number of dogs you are bringing*0123more than 3Additional Dog FeePlease enter the quantity of dogs over 3. You are not charged for the first 3 dogs. Each one after is $30 for the weekend. Price: $30.00 Quantity: Are any of the dogs you are bringing not a pug?*YesNoIf you are bringing a dog that is not a pug and over 30 lbs, please be advised that we have a limited number of spots available. They will be done on a first come, first serve basis. We will update this message once those spots are filled. If you answered yes, please enter the breed or breed mix of dog, and approximate weight.Is your dog spayed or neutered?*Only spayed and neutered dogs are allowed at Pug Camp. If there is a medical reason for which they cannot be, please contact us and we will evaluate the situation.YesNoWe are so sorry, but dogs that are not spayed or neutered are not permitted to attend Pug Camp.Lodging & CostsPrivate Room/Double OccupancyThis is for one private bedroom for 2 people. Enter 1 in the quantity field, then add the additional persons name in the Name Of Other Person In Room area. Price: $450.00 Quantity: Private Room/Singe Occupancy Price: $350.00 Quantity: This is for one private bedroom for 1 person. Enter 1 in the quantity field.Arrival Date*FridaySaturdaySundayName Of Other Person In Room First Last AgeGenderMaleFemaleAdd onsBlanket, Pillow, Sheets, Towels RentalThe cost is $15 per person for the weekend. Please enter the quantity of people you are registering for. Price: $15.00 Quantity: Help Us Offset Charge CostsWe need to reach a certain number of signups to make Pug Camp official and book the camp. Any money taken out due to charge card fees keeps us from getting there, as well as takes money away from the rescues. Please consider offsetting that by donating an additional amount below.I would also like to donate: Total Due:Total $0.00 Credit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20182019202020212022202320242025202620272028202920302031203220332034203520362037 Expiration Date Security Code Cardholder Name Agreement and Additional PaperworkYour waiver and vet records are required to be allowed entry to Pug Camp. Any failure to submit those records would mean you are not allowed to attend, and any amount paid is non-refundable.Attendance Waiver | Veterinarian FormRaffle Donation*Every Pug Camp attendee is required to bring a raffle item of $20+ value. When you check in at camp, you will be asked for your item and which rescue you would like the proceeds to go to. Children under 21 years of age are not required to bring a raffle item. If you are attending as a family, one raffle item of $60+ value from the whole family is preferred. I understand that I am required to bring a raffle item of $20+ value. Agreement* I understand that I must submit a waiver and vet records to be allowed entry to Pug Camp.