Outdoor Adventure Camp - Registration Form
Please fill out the information below. If you have participated in a Common Ground Center (CGC) program with us before you only need to update contact information if it has changed. Payment can be made by mailing a check ahead of time to Common Ground Center, 473 Tatro Road, Starksboro, VT05487 or bringing a check or cash on the first day of the program.

If you have any questions about our Outdoor Adventure Camps email Emily at emily@cgcvt.org or call her at the office at (802) 453-2592.

Don't forget to click submit. Thank you!

How did you hear about this program? *
Family Last Name: *
Your answer
Street Address:
Your answer
City:
Your answer
State:
Your answer
Zip code:
Your answer
Home Phone:
Your answer
Email address: *
Your answer
Primary Guardian #1:
Name:
Your answer
Cell Phone Number:
Your answer
Primary Guardian #2
Name:
Your answer
Cell Phone Number:
Your answer
Child 1 attending Outdoor Adventure Camp:
Name *
Your answer
Date of Birth: *
Your answer
Grade in School: *
Your answer
Would you like to register another child for Outdoor Adventure Camp? *
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