6. The child must be of a working class family and his parents must thoroughly understand the purpose of the camp. 7. Each child must fill out one of the registration blanks sent out from the Pioneer Camp Committee, 1421½ Eighth Avenue, Seattle. REGISTRATION BLANK FOR PIONEER SUMMER CAMP AT PINE LAKE (Please read the instructions on the other side carefully before filling out this blank.) Organization sponsoring----------------------------------------- Name------------------------------------------------------------ Address-------------------- City--------------- State----------- Age----------- School attending------------------ Grade--------- Occupation, if any------------------------------ Wages---------- Where employed-------------------------------------------------- Member of what organizations------------------------------------ Did you ever attend a Pioneer camp before?---------------------- If so, when and where------------------------------------------- Did you ever attend a summer camp for Boy Scouts, Girl Reserves, Girl Scouts, etc.?------------ If so, when---------------------- Mother’s name--------------------------------------------------- Occupation---------------------- Working?---------- Wages------- Are you willing that your child go to a working-class children’s camp for the purposes of recreation, physical development, and working-class training?----------------------------------------- (Yes) ----------------------------------- Mother’s Signature Father’s name--------------------------------------------------- Occupation---------------------- Working?---------- Wages------- Are you willing that your child go to a working-class children’s camp for the purposes of recreation, physical development, and working-class training?------------------------------------- (Yes) ----------------------------- Father’s Signature Fee of $5 for two weeks being paid by organization sponsoring------------------------------------------------------ Fee of $5 for two weeks being paid by parents------------------- This is to certify that I have examined------------------------- and have found him, her, with no physical disabilities and free of communicable disease. Signed --------------------------- Examining physician The------------------------------ Feels that-------------------- Name of sponsoring organization child’s name --------------------------------answers all the requirements for admission to the Pioneer Summer Camp and is sponsoring him, her.