Register for the Granite Broads Camp-out
Personal Contact Info:
First Name *
Your answer
Last Name *
Your answer
Phone Number *
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Email Address *
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Emergency Contact
Emergency Contact Name & Relation to Participant *
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Emergency Contact Phone Number *
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Safety
Dietary Restrictions? *
Your answer
Allergies? *
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Medical Issues? *
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Medical Training? *
Your answer
Membership
We strongly encourage all attendees to be a member of Great Old Broads for Wilderness. Sign up to be a member here: https://www.greatoldbroads.org/join-us/
Are you a member of Great Old Broads? *
Last steps to complete your registration:
Click the "Submit" button below, and then you will click the PayPal link to pay online.
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