Registration Form - When Women Were Trees
First Name *
Your answer
Last Name *
Your answer
Email *
Almost all communications will be sent via email. Please put the best email address to reach you here.
Your answer
Phone *
Your answer
Address (Street) *
Your answer
Address (City/Town) *
Your answer
Address (State) *
Your answer
Address Zip *
Your answer
Health issues & allergies *
If you have any significant health issues or allergies please briefly mention them in the "other" option. The instructors will follow up with you if they have questions. (Please share detailed information on the medical form (separate). Your answer to this question simply gives us an early heads up that we should be paying particular attention to your medical form)
Date of birth (or age on 1st day of program) *
Your answer
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This form was created inside of Vermont Wilderness School.