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The Wilds Camper Sign Up Sheet
July 31- August 5. This is the sign up sheet for church camp. We need every question filled out so we can get everyone who is planning to go to the Wilds registered. Ages are 9 to 18.
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Birth Day
*
MM
/
DD
/
YYYY
Junior Camp (ages 9-12) or Teen Camp (ages 12-18) (12 year old's can choose to go to either one)
*
Junior Boot Camp
Teen Camp
Age
*
Your answer
Choice to room with (You can choose two people)
Your answer
Parent's First Name
*
Your answer
Parent's Last Name
*
Your answer
Home Address-
*
Your answer
Parent's Phone Number-
*
Your answer
Parent's e-mail (The Wilds will send you a medical form that you will need to fill out)-
*
Your answer
Food Allergies-
*
None
Other:
Medications-
*
None
Other:
Parent/Guardian Signature
Your answer
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