Summer Camp Registration 3/4 Year Olds
2 Day Summer Camp July 11 + 13 2017
Email address
Child's Name First
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Child's Name Last
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Age
Birthdate
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DD
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Gender
Please List any known Allergies
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Other Information Wild Wonder should know about your Child (Personality type, behaviour traits, injuries, how they adjust to new situations, etc..)
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Child T-shirt Size
Parent / Caretaker First Name
Your answer
Parent / Caretaker Last Name
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Phone Number
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Confirm E-Mail
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Emergency Contact 1 Name
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Emergency Contact 1 Phone
Your answer
Emergency Contact 2 Name
Your answer
Emergency Contact 2 Phone
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Who referred / How did you hear about Camp Wild Wonder
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Photo Permission - Wild Wonder would like to potentially use pictures of your child EXCLUDING their name for Instagram, facebook, News Media, Advertising, and other Wild Wonder promotional materials
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