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<html>
<head>
<title>Welcome To The YMCA Of Delaware :: Tockwogh Camp & Conference Center :: Connect With Us</title>
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1">
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<body bgcolor="#BD2F21" background="../../images_tockwogh/2007site/background.jpg" link="#982826" vlink="#982826" alink="#982826" leftmargin="0" topmargin="0" marginwidth="0" marginheight="0" onLoad="MM_preloadImages('../images_tockwogh/2007site/roll/home.jpg','../../images_tockwogh/2007site/roll/home.jpg','file:///Macintosh%20HD/images_tockwogh/2007site/roll/parents.jpg','file:///Macintosh%20HD/images_tockwogh/2007site/roll/tours.jpg','file:///Macintosh%20HD/images_tockwogh/2007site/roll/teens.jpg','file:///Macintosh%20HD/images_tockwogh/2007site/roll/dates.jpg','file:///Macintosh%20HD/images_tockwogh/2007site/roll/employ.jpg','../../images_tockwogh/2007site/roll/parents.jpg','../../images_tockwogh/2007site/roll/tours.jpg','../../images_tockwogh/2007site/roll/teens.jpg','../../images_tockwogh/2007site/roll/dates.jpg','../../images_tockwogh/2007site/roll/employ.jpg')">
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                                <tr> 
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                        <tr class="field"> 
                          <td><div class="field"> 
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                                <tr> 
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                        <tr class="field"> 
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                                <tr> 
                                  <td class="label" style="width: 30%; min-width: 50px; max-width: 200px"><font size="2" face="Verdana, Arial, Helvetica, sans-serif">State</font></td>
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                        <tr class="field"> 
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                                  <td class="label" style="width: 30%; min-width: 50px; max-width: 200px"><font size="2" face="Verdana, Arial, Helvetica, sans-serif">Zip 
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                                    </font></td>
                                </tr>
                              </table>
                            </div></td>
                        </tr>
                        <tr class="field"> 
                          <td><div class="field"> 
                              <table cellpadding="2" cellspacing="0" width="100%">
                                <tr> 
                                  <td class="label" style="width: 30%; min-width: 50px; max-width: 200px"><font size="2" face="Verdana, Arial, Helvetica, sans-serif">Phone</font></td>
                                  <td class="input" style="width: 70%; min-width: 70%"><font size="2" face="Verdana, Arial, Helvetica, sans-serif"> 
                                    <input name="phone" type="text" class="inputform" id="phone" value="" size="35" maxlength="80">
                                    </font></td>
                                </tr>
                              </table>
                            </div></td>
                        </tr>
                        <tr class="field"> 
                          <td><div class="field"> 
                              <table cellpadding="2" cellspacing="0" width="100%">
                                <tr> 
                                  <td class="label" style="width: 30%; min-width: 50px; max-width: 200px"><font size="2" face="Verdana, Arial, Helvetica, sans-serif">Email</font></td>
                                  <td class="input" style="width: 70%; min-width: 70%"><input name="email" type="text" class="inputform" id="email" value="" size="35" maxlength="80"></td>
                                </tr>
                              </table>
                            </div></td>
                        </tr>
                        <tr class="field"> 
                          <td><div class="field"> 
                              <table cellpadding="2" cellspacing="0" width="100%">
                                <tr> 
                                  <td class="label" style="width: 30%; min-width: 50px; max-width: 200px"><font size="2" face="Verdana, Arial, Helvetica, sans-serif">Job 
                                    Title</font></td>
                                  <td class="input" style="width: 70%; min-width: 70%"><input name="jobTitle" type="text" class="inputform" id="jobTitle" value="" size="35" maxlength="80"></td>
                                </tr>
                              </table>
                            </div></td>
                        </tr>
                        <tr class="field"> 
                          <td><div class="field"> 
                              <table cellpadding="2" cellspacing="0" width="100%">
                                <tr> 
                                  <td class="label" style="width: 30%; min-width: 50px; max-width: 200px"><font size="2" face="Verdana, Arial, Helvetica, sans-serif">Company/Org</font></td>
                                  <td class="input" style="width: 70%; min-width: 70%"><input name="company" type="text" class="inputform" id="company" value="" size="35" maxlength="80"></td>
                                </tr>
                              </table>
                            </div></td>
                        </tr>
                        <tr class="field"> 
                          <td><div class="field"> 
                              <table cellpadding="2" cellspacing="0" width="100%">
                                <tr> 
                                  <td class="label" style="width: 30%; min-width: 50px; max-width: 200px"><font size="2" face="Verdana, Arial, Helvetica, sans-serif">Former 
                                    Staff Positions</font></td>
                                  <td class="input" style="width: 70%; min-width: 70%"><font size="2" face="Verdana, Arial, Helvetica, sans-serif"> 
                                    <input name="field_21" type="hidden" value="mulivalue">
                                    <input name="fsp" type="checkbox" value="Pawnee/Navajo" id="field_21_Pawnee/Navajo" onfocus="if (this.blur) this.blur()">
                                    <label class="grouppointer" for="field_21_Pawnee/Navajo">Pawnee/Navajo</label>
                                    <br>
                                    <input name="field_21" type="hidden" value="mulivalue">
                                    <input name="fsp" type="checkbox" value="Cherokee/Algonquin" id="field_21_Cherokee/Algonquin" onfocus="if (this.blur) this.blur()">
                                    <label class="grouppointer" for="field_21_Cherokee/Algonquin">Cherokee/Algonquin</label>
                                    <br>
                                    <input name="field_21" type="hidden" value="mulivalue">
                                    <input name="fsp" type="checkbox" value="Iroquois" id="field_21_Iroquois" onfocus="if (this.blur) this.blur()">
                                    <label class="grouppointer" for="field_21_Iroquois">Iroquois</label>
                                    <br>
                                    <input name="field_21" type="hidden" value="mulivalue">
                                    <input name="fsp" type="checkbox" value="Chickasaw" id="field_21_Chickasaw" onfocus="if (this.blur) this.blur()">
                                    <label class="grouppointer" for="field_21_Chickasaw">Chickasaw</label>
                                    <br>
                                    <input name="field_21" type="hidden" value="mulivalue">
                                    <input name="fsp" type="checkbox" value="Sioux" id="field_21_Sioux" onfocus="if (this.blur) this.blur()">
                                    <label class="grouppointer" for="field_21_Sioux">Sioux</label>
                                    <br>
                                    <input name="field_21" type="hidden" value="mulivalue">
                                    <input name="fsp" type="checkbox" value="Ute" id="field_21_Ute" onfocus="if (this.blur) this.blur()">
                                    <label class="grouppointer" for="field_21_Ute">Ute</label>
                                    <br>
                                    <input name="field_21" type="hidden" value="mulivalue">
                                    <input name="fsp" type="checkbox" value="Primary Waterfront" id="field_21_Primary Waterfront" onfocus="if (this.blur) this.blur()">
                                    <label class="grouppointer" for="field_21_Primary Waterfront">Primary 
                                    Waterfront</label>
                                    <br>
                                    <input name="field_21" type="hidden" value="mulivalue">
                                    <input name="fsp" type="checkbox" value="Non-Cabin Administrative" id="field_21_Non-Cabin Administrative" onfocus="if (this.blur) this.blur()">
                                    <label class="grouppointer" for="field_21_Non-Cabin Administrative">Non-Cabin 
                                    Administrative</label>
                                    <br>
                                    </font></td>
                                </tr>
                              </table>
                            </div></td>
                        </tr>
                        <tr class="field"> 
                          <td><div class="field"> 
                              <table cellpadding="2" cellspacing="0" width="72">
                                <tr> 
                                  <td class="label" style="width: 30%; min-width: 50px; max-width: 200px"><font size="2" face="Verdana, Arial, Helvetica, sans-serif">Timeframe 
                                    of Employment</font></td>
                                  <td class="input" style="width: 70%; min-width: 70%"><font size="2" face="Verdana, Arial, Helvetica, sans-serif"> 
                                    <input name="field_22" type="hidden" value="mulivalue">
                                    <input name="tfe" type="checkbox" value="1950-1960" id="field_22_1950-1960" onfocus="if (this.blur) this.blur()">
                                    <label class="grouppointer" for="field_22_1950-1960">1950-1960</label>
                                    <br>
                                    <input name="field_22" type="hidden" value="mulivalue">
                                    <input name="tfe" type="checkbox" value="1961-1969" id="field_22_1961-1969" onfocus="if (this.blur) this.blur()">
                                    <label class="grouppointer" for="field_22_1961-1969">1961-1969</label>
                                    <br>
                                    <input name="field_22" type="hidden" value="mulivalue">
                                    <input name="tfe" type="checkbox" value="1970-1975" id="field_22_1970-1975" onfocus="if (this.blur) this.blur()">
                                    <label class="grouppointer" for="field_22_1970-1975">1970-1975</label>
                                    <br>
                                    <input name="field_22" type="hidden" value="mulivalue">
                                    <input name="tfe" type="checkbox" value="1976-1980" id="field_22_1976-1980" onfocus="if (this.blur) this.blur()">
                                    <label class="grouppointer" for="field_22_1976-1980">1976-1980</label>
                                    <br>
                                    <input name="field_22" type="hidden" value="mulivalue">
                                    <input name="tfe" type="checkbox" value="1981-1985" id="field_22_1981-1985" onfocus="if (this.blur) this.blur()">
                                    <label class="grouppointer" for="field_22_1981-1985">1981-1985</label>
                                    <br>
                                    <input name="field_22" type="hidden" value="mulivalue">
                                    <input name="tfe" type="checkbox" value="1986-1990" id="field_22_1986-1990" onfocus="if (this.blur) this.blur()">
                                    <label class="grouppointer" for="field_22_1986-1990">1986-1990</label>
                                    <br>
                                    <input name="field_22" type="hidden" value="mulivalue">
                                    <input name="tfe" type="checkbox" value="1991-1995" id="field_22_1991-1995" onfocus="if (this.blur) this.blur()">
                                    <label class="grouppointer" for="field_22_1991-1995">1991-1995</label>
                                    <br>
                                    <input name="field_22" type="hidden" value="mulivalue">
                                    <input name="tfe" type="checkbox" value="1996-2000" id="field_22_1996-2000" onfocus="if (this.blur) this.blur()">
                                    <label class="grouppointer" for="field_22_1996-2000">1996-2000</label>
                                    <br>
                                    <input name="field_22" type="hidden" value="mulivalue">
                                    <input name="tfe" type="checkbox" value="2001-2004" id="field_22_2001-2004" onfocus="if (this.blur) this.blur()">
                                    <label class="grouppointer" for="field_22_2001-2004">2001-2004</label>
                                    <br>
                                    </font></td>
                                </tr>
                              </table>
                            </div></td>
                        </tr>
                      </table></td>
                    <td class="middleright"></td>
                  </tr>
                  <tr> 
                    <td class="bottomleft"></td>
                    <td class="bottomcenter"></td>
                    <td class="bottomright"></td>
                  </tr>
                </table>
                <font size="2" face="Verdana, Arial, Helvetica, sans-serif"><a href="../../pdfs/alumnipay.pdf">Your 
                registration for Alumni is not complete until a payment form is 
                faxed <br>
                or mailed. Please click here to download the form</a></font><br> 
                <table class="buttonframe">
                  <tr> 
                    <td width="6" class="topleft"></td>
                    <td width="181" class="topcenter"></td>
                    <td width="214" class="topright"></td>
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                  <tr> 
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                    <td class="content" align="left" valign="top"> <div align="center"> 
                        <input type="submit" name="cancel" value="Cancel" class="button" style="float: left; ">
                      </div></td>
                    <td class="middleright"><div align="center"><span class="content"> 
                        <input type="submit" name="ok" value="Submit" class="button" style="float: right; ">
                        </span></div></td>
                  </tr>
                  <tr> 
                    <td class="bottomleft"></td>
                    <td class="bottomcenter"></td>
                    <td class="bottomright"></td>
                  </tr>
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              <td class="middlerightO"></td>
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