2018 Dirtybird Campout - ADA Camping Registration
Full Name *
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Email Address *
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Confirm Email Address *
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Phone Number *
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What type of camping have you purchased? *
Required
Please provide your Camping Order Confirmation Number. If you have not purchased a camping pass, please enter "NA". *
Your answer
Will you require access to an accessible shower? *
Will you require ADA shuttle transportation? *
Will you need electricity to charge medical equipment? *
In regards to camping, how else can we assist you on account of your disability? *
Your answer
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