Camp Clean Beats Registration
*NOTE* In order to keep our camp self-supporting, all our campers volunteer for 6-8 hours during the festival. Priority of shifts is given to those already volunteering with Shambhala Music Festival (SMF). If you are a SMF volunteer, please include your assigned shifts when submitting your CCB registration form. CCB shift assignments will be sent out a week before the festival. Arrival and Departure dates are requested so that shifts may be assigned accordingly.
Full Name
Your answer
Gender
Your answer
Preferred Pronouns
Your answer
Age
Your answer
Email Address
Your answer
Fellowship
Your answer
Are you drug and alcohol free? (including pot)
Your answer
Sobriety Date
MM
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DD
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YYYY
Do you have a sponsor?
Your answer
Do you sponsor?
Your answer
How did you hear about Camp Clean Beats?
Your answer
How do you see yourself contributing to Camp Clean Beats?
Your answer
Emergency Contact Name:
Your answer
Emergency Contact Phone #
Your answer
Emergency Contact Relationship
Your answer
Arrival Date
MM
/
DD
/
YYYY
Departure Date
MM
/
DD
/
YYYY
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