FWCF Vision Quest 2017 Registration Form
Please fill out one form per family to attend this year's vision quest camp
June 19-25, Deer Mountain, California
Early Registration until April 1.
Registration due June 1, 2017
For information about this ceremony, what to bring, what not to bring, directions, etc, please visit our website: http://www.fwfoundation.com/groups/vision-quest/

******IMPORTANT NOTE****
THIS MUST BE A FULL WEEK COMMITMENT AND WE WILL NOT BE ABLE TO ACCOMMODATE LATE ARRIVALS.
WE WILL ONLY HAVE 2 AVAILABLE ARRIVAL DATES & TIMES -
Helpers, Pledges & Main supporters in Camp June 18 by 3 pm
Others June 19 between 11:30 am. 2:30.

Adult/Elders Name
Your answer
Young Adults / Children’s Name(s): Ages:
please enter NONE if no children or young adults
Your answer
Address
Your answer
Phone Number
Your answer
Email Address
Your answer
When will you arrive at camp
Do you have any preexisting health conditions, disabilities, or special needs we should be aware of? No Yes (if so please explain):
Your answer
Emergency Contact Name and Phone Number
Your answer
Do you have any Dietary Restrictions
If you selected Other please list dietary restrictions here as well as any food allergies or sensitivities?
Your answer
Payment
Adult (21+) = $282
Elder (65+) and Young Adult (13-20) = $257
Children (0-12) Free
Deposit $100 will hold your space. Remainder must be paid by May 28. No refunds on deposit after June 6

Please make checks payable to Four Winds Foundation and send to Uta Dunbar 5805 NE Mallory Ave, Portland OR. 97211

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