Camper Waitlist - Veg Camp 2019
**Veg Camp 2019 is not yet full. Please do not fill in this form.**
Camper Name *
Your answer
Birthdate *
MM
/
DD
/
YYYY
Gender *
Grade Level as of September 2018 *
Your answer
Home Phone Number *
Your answer
Home Address *
Your answer
FIRST Legal Guardian *
Your answer
Work/Cell Phone
Your answer
Email *
Your answer
SECOND Legal Guardian
Your answer
Work/Cell Phone
Your answer
Email
Your answer
Are there any court orders or custody restrictions which would prevent us from communicating with either parent/guardian? (If yes, we will contact you for additional information) *
EMERGENCY Contact (other than legal guardians)
Your answer
Phone Number for Emergency Contact
Your answer
Do you give permission for someone other than the legal guardians to pick up your child at the end of camp? *
If yes, please list the Full Name and Phone number of the adult(s) permitted to pick up your child at the end of camp (Photo ID will be required before the camper will be released to individuals listed).
Your answer
Where did you hear about Vegetarian Eco Camp?
Your answer
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