WyldLife Camp @ Lost Canyon
Email address *
FIRST *
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LAST *
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What Grade are you currently? *
Leader Name
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Who Invited You?!
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Cell phone *
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Parent/Guardian Name *
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Parent/Guardian Phone *
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ADDRESS, CITY, ZIP
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Dietary Restrictions *
Required
SHIRT SIZE *
THE COST OF CAMP IS $550 Paid in Full *
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