BAnna Camp Registration
Event Timing: January 27-30, 2023
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First Name *
Last Name *
Email address *
Instagram Handle *
Street Address *
City *
Zip Code
Cell Phone Number *
Date of Birth *
Dietary restrictions *
Top Size
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Shoe Size
Emergency Contact Name *
Emergency Contact Phone Number *
Known Allergies *
Health Insurance Provider *
Health Insurance Group Number
Health Insurance Policy Number
Do you have a roommate preference?
Alcohol Preference 
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Please check here if you prefer to be in an alcohol free cabin
Additional Information Anna or Becki Should Know
I understand that BAnna Camp is 21+ *
I understand that registration is not complete until I pay a non-refundable $300 fee (Payment can be made at and the remaining balance is due prior to December 1, 2022. *
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