Wild Within Registration 2020
Note: If you are filling this form out for more than one person, please fill out a separate registration for each one.
2020 Wild Within Camp Dates: Jul 27 – 31
Email of person completing this registration *
Your confirmation email will be sent to this address.
Your answer
PARTICIPANT INFO
Teen's First Name *
Your answer
Teen's Last Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Age on 1st day of program *
Your answer
Gender
Your answer
Sibling names and ages
Your answer
Where does this teen go to school? (Or are they homeschooled?)
Your answer
Teen's email (if different from the person filling this out)
Your answer
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This form was created inside of Vermont Wilderness School.