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. *
Email of person completing this registration *
Your confirmation email will be sent to this address.
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 *
Preferred Pronouns
Sibling names and ages
Racial Identity (optional)
Where does this child go to school? (Or are they homeschooled?)
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This form was created inside of Vermont Wilderness School.