April Break 3-Day Camp Registration
Note: If you are filling this form out for more than one person, please fill out a separate registration for each one.
April Break 3-Day Camp Dates: Apr 20 – Apr 22
This program is full. By checking the box below you agree to put yourself on the waitlist. *
Required
Email of person completing this registration *
Your confirmation email will be sent to this address.
PARTICIPANT INFO
Youth's First Name *
(Optional) Youth Preferred Name or Nickname, if different from first name
If this participant wants to be called something other than their first name.
Youth's Last Name *
Birth Month & Year *
For example, if your child's birthday was January first 2010, you'd put "1/2010"
Age on 1st day of camp *
Gender
Preferred Pronouns
Sibling names and ages
Racial Identity (optional)
Where does this child go to school? (Or are they homeschooled?)
Next
Never submit passwords through Google Forms.
This form was created inside of Vermont Wilderness School.