Leadership Camps, Ohio Model United Nations, Model UN, Educational Consulting - Ohio Leadership Institute - Columbus Ohio, Offering Leadership Skills for Ohio's Youth

Note: all boxes must be completed
First Name:		* IMPORTANT * Please print & complete the Medical form and mail it to: Ohio Leadership Institute, 240 Woodland Ave, Columbus OH 43203.
Last Name:
Age, Sex:	Male Female
Grade: (your grade level fall of this year)
E-Mail Address:
Home Address:
City:
Zip:
Home Phone:
School:
County:
Principal's Name:
I would like to register for the following camp: (A $75 reservation fee is required in step two of this form! ) If you are an Honor Roll Student, we allow a $25.00 scholarship to our camps. Check here if you are an Honor Roll Student.
Elementary	Kelleys Island Camp: July 25-27, 2008. ($225)
Middle School	Kelleys Island Camp: July 25-27, 2008. ($225)
High School	Ohio Dominican University: June 27-29, 2008. ($225)
Roommate Request: (We can only guarantee one roommate request per camper. Please list your roommate choice below. Please make sure your requested roommate lists you as his/her roommate on their registration form. This will guarantee that you will be housed together.) No roommate request My Roommate Request is:
Online camp registrations will be confirmed by E-Mail.

*** IMPORTANT ***