Summer Camp Registration 9-12 Year Olds
5 Day Summer Camp July 17-21 2017
Email address *
Child's Name First *
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Child's Name Last *
Your answer
Age *
Birthdate *
MM
/
DD
/
YYYY
Gender
Please List any known Allergies
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Other Information Wild Wonder should know about your Child (Personality type, behaviour traits, injuries, how they adjust to new situations, etc..)
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Child T-shirt Size *
Parent / Caretaker First Name *
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Parent / Caretaker Last Name *
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Phone Number *
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Confirm E-Mail *
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Emergency Contact 1 Name *
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Emergency Contact 1 Phone *
Your answer
Emergency Contact 2 Name *
Your answer
Emergency Contact 2 Phone *
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Who referred / How did you hear about Camp Wild Wonder
Your answer
Photo Permission - Wild Wonder would like to potentially use pictures of your child EXCLUDING their name for Instagram, facebook, News Media, Advertising, and other Wild Wonder promotional materials *
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