FOX KITS - 2017 Sign-up Form
Youth Nature Immersion - Signup Form
Your First Name
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Your Last Name
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How did you hear about Fox Kits?
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What is your address?
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What is your phone number?
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What is your email address?
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How many children would you like to enroll in camp?
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What dates would you like to enroll your child/children in? (Please list all dates you are interested in) Mar. 11/ Apr. 8/ May 20
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What is your child's first and last name
Please list names if enrolling more than one child
Your answer
How old is your child?
(At time of camp)
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What is your emergency contact number?
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What is the name of your child's health care provider/doctor and the number they can be reached at?
Your answer
What is your child's medical ID #?
Your answer
Does your child have any allergies?
If yes, please list.
Your answer
Does your child have any medical conditions that camp staff should be aware of?
Your answer
We look forward to spending an amazing time with your child in the Petaluma River Watershed. Is there anything you can tell us about your child that will help improve their experience?
Your answer
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