2017 DAY CAMP REGISTRATION
Thank you for your interest in WIND DANCE ADVENTURE CAMPS - EMBRACING THE EARTH
16th Camp Summer
STEP 1 of 4 - Complete this form
We have a limited number of camper spaces and we encourage you to register early. Knowing how many campers enables us to hire the appropriate number of guides, keeping the adult/camper ratio well balanced.
REGISTRATION DUE MAY 15
If you are registering after May 15, please inquire about openings

304-258-4672 wind.dance@frontier.com

PRINTABLE REGISTRATION OPTION
If you prefer, please visit the www.WindDanceFarm.org web side, download the printable registration form and mail it to:

Wind Dance Farm and Earth Ed. Center
649 Virginia Line Road | Berkeley Springs, WV 25411

Complete this form for ONE CAMPER or for UP TO THREE campers who will attend the SAME* camp(s)
CAMPERS MAY ATTEND ONE OR BOTH CAMPS

*If you are registering more than one camper and they are attending DIFFERENT camps please use one form per camper.
After you submit this form for the first camp you will have access to another form so you can provide information for additional camps.

Choose a single or combination of camps for your camper(s): *
Camper #1 First and Last NAME *
Your answer
Camper #1 AGE at time of camp *
Your answer
Camper #2 First and Last NAME
Your answer
Camper #2 AGE at time of camp
Your answer
Camper #3 First and Last NAME
Your answer
Camper #3 AGE at time of camp
Your answer
Overseeing use of tools older campers guide young ones while constructing an out building.
Camper's parent name(s) *
Your answer
Camper's family address (street, city, state, zip code) *
Your answer
Camper's family phone with area code *
Your answer
Camper's family email address *
Your answer
Campers learned techniques to survive in the wilderness with AR, who received training through Tom Brown programs, and Kevin a camp guide for five years and an Eagle Scout.
CAMPER(S) EMERGENCY CONTACT
Questions? 304-258-4672 wind.dance@frontier.com
EMERGENCY CONTACT NAME IN CASE PARENTS ARE UNAVAILABLE *
Your answer
EMERGENCY CONTACT PHONE *
Your answer
EMERGENCY CONTACT SECOND PHONE
Your answer
EMERGENCY CONTACT RELATION TO CAMPER *
Your answer
Campers gather around to shell farm beans for dinner, which is more than the sharing of work – its the sharing of time spent together.
CAMPER MEDICAL INFORMATION
Questions? 304-258-4672 wind.dance@frontier.com
CAMPER ALLERGIES - LIST ALL OR "NONE" *
Your answer
MEDICATION YOU CHILD WILL TAKE DURING CAMP - LIST ALL or type "NONE" *
Your answer
MEDICATION - HOW OFTEN ADMINISTERED or type "NA" *
Your answer
Do you give permission to administer homeopathy remedies to your child if necessary? *
Pete and Linda have been visiting camps for five years and the kids always want them to come back with their bows and arrows and new set ups. Linda & Pete are delightful at gently guiding campers in developing archery skills.
ADDITIONAL INFORMATION
Questions? 304-258-4672 wind.dance@frontier.com
Do you give permission to use CAMP PHOTOS of your child for articles in the Morgan Messenger and on www.facebook.com/winddancefarm and www.WindDanceFarm.org and other promotional means? *
Do you give permission to use your CHILD'S NAME for articles in the Morgan Messengerand on www.facebook.com/winddancefarm and www.WindDanceFarm.org and other promotional means? *
EXTRA! EXTRA! Please inform us of thoughts or concerns that may help us know your child. The more you share the greater insight we have.
Your answer
SCROLL UP AND BE SURE YOUR INFORMATION IS ACCURATE Untitled Title
Then move on to STEP 2
STEP 2 of 4 - DEPOSIT
MAIL a $25.00 deposit PER CAMPER, payable to Wind Dance Farm & Earth Ed. Center. Camper(s) registration will be complete upon receipt of the deposit.

one camper - $25 deposit
two campers - $50 deposit
three campers - $75 deposit

Wind Dance Farm and Earth Ed. Center
649 Virginia Line Road | Berkeley Springs, WV 25411

STEP 3 of 4 - PAYMENT
The deposit is not included in the camp fee(s). The remaining fee is due on the first day of camp:

one camper x one camp - $150 due * one camper x two camps - $300 due
two campers x one camp - $270 due * two campers x two camps - $540 due
three campers x one camp - $400 due * three campers x two camps - $1200 due

Wind Dance Farm and Earth Ed. Center
649 Virginia Line Road | Berkeley Springs, WV 25411

DONATION
We work at keeping camp fees at a minimum, as well as provide high quality programs. We produce and purchase a lot of organic food. Donations, which are tax exempt, will be used to support educational programs. Make checks payable to Wind Dance Farm & Earth Ed. Center

THANK YOU!

STEP 4 of 4 - CLICK SUBMIT!
You will receive an email in early June as to details about what to bring, and drop off and pick up.

SEE YOU THIS SUMMER!

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