PAL Camp Sign-Up (General Members)

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PAL Camp this year will be from August 3rd to August 6th.

For those who don't know, PAL Camp is an annual bonding trip for AYSC's current and old board members to attend. Participants will be required to attend ALL committee meetings (no excuses), show part in their respective committees, have waiver and forms signed, and understand/agree to follow all rules/guidelines listed!

Full Name(First/Last) *

Email *

Phone Number *

Home Address *

Are You A General Member? *

Yes

I'm not sure

Any Dietary Restrictions or Allergies? If so, please list them below. *

Taking any medications? If so, please list them below. *

First Emergency Contact (Name, Relationship, Phone Number, Preferred Language) *

Second Emergency Contact (Name, Relationship, Phone Number, Preferred Language) *

Insurance Information w/ Policy Number *

Will you be staying FULL TIME (for the whole duration of PAL Camp)? If not, please explain. *

Have you been fully vaccinated? (2 weeks after a second dose in a 2-dose series, such as the Pfizer or Moderna vaccines, or 2 weeks after a single-dose vaccine, such as Johnson & Johnson’s Janssen vaccine) *

Yes

I will be by this date (Please specify the exact date you'll be fully vaccinated by in the next question)

The date when I will be fully vaccinated. *

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