CampHERO 4 Women Registration
First Name
Your answer
Last Name
Your answer
Street Address
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City
Your answer
State
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Zip Code
Your answer
Preferred Phone
Your answer
Email
Your answer
Emergency Contact Full Name
Your answer
Emergency Contact Phone Number
Your answer
Please list any dietary restrictions, medical conditions or allergies CampHERO 4 Women needs to know about:
Your answer
Media Release Statement: I give permission to be photographed/videotaped and allow CampHERO, Girl Scouts of WI - Badgerland Council and Girl Scouts USA to release said media for Girl Scout and camp publicity purposes. This includes print and web marketing/publications. Please note: If you do not give permission, you will not be allowed to appear in ANY photos including your own or those taken by other participants. you will be required to wear name tags that state "NO PHOTOS."
Payment information: The registration fee is $50.00 and includes all program supplies, lunch, snacks and beverages.
What is you pant size? (for fitting you in fire gear)
Your answer
What is your boot size in women's? (for fitting you in fire gear)
Your answer
All participants must initial and sign the Waiver, Release and Ideminification Agreement. You may print it and bring it with you or sign the copy that will be available on your arrival. https://drive.google.com/open?id=0B0_YLhrtcqaLSmNDV1E4R1VfYzQ
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