Wild Within Teen Day Camp Registration
Primary/your email address
All important information about this program will come via email, to the address you put here.
Note: If you are filling this form out for more than one person, please fill out a separate registration for each one.
2021 Camp Dates: Jul 26 – 30
Teen's First Name
Teen Preferred Name or Nickname, if different from First Name
Teen's Last Name
Date of Birth
Age on 1st day of program
Racial Identity (optional)
Sibling names and ages
Teen's email (if different from the person filling this out)
What size T-shirt might fit this teen on the 1st day of camp?
We give everyone a free T-shirt!
Youth XXL/Adult L
Page 1 of 6
Never submit passwords through Google Forms.
This form was created inside of Vermont Wilderness School.
Terms of Service