Name (as you would like it to appear on CLC Alumni mailings):

First Name:

Middle Name:

Last Name:

Maiden Name:

Address:

City:

State:

Zip Code:

Email Address:

Home Phone:

Work Phone:

Age:

Occupation:

Spouse's Name:

Kid's Name: (if any -- with ages)

Years Attended Crane Lake Camp:

Comments/Suggestions/Additional Information:


Please mail a check for $36 for dues, made out to URJ Crane Lake Camp Alumni.

Mail to:
Crane Lake Alumni Fund
c/o Herb May
46 State Line Road
West Stockbridge, MA 01266