2024 WYLDLIFE Summer Camp

WHERE: Lost Canyon

WHEN: June 29 - July 3, 2024

Departure: Details to come but around 10 am on June 29, 204

Return: 4 pm on July 3, 2024

COST: $ 695

PLEASE READ: After completing this form, a confirmation will be sent with the information you have entered below. Within a week an email with a link to complete your health form will be sent to the Parent/Guardian email listed in your registration.

Questions and Information

Contact Susan at [email protected]

Participant Information

Guest Type

Registration Options

Participant Name

Date of Birth

Phone

Phone Type

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Participant Address

Gender

Male
Female

Additional Comment

Ethnicity

T-shirt Size

School

High School Graduation Year

Additional Comments

Coupon Code or Fundraising Code

Parent / Guardian Information

Name

Phone

Phone Type

Address is same as participant

Address

Would you like to cover the 2.5% credit card processing fee?

Credit Card Fee

$0.00

Total

$0.00

Billing Information

Name

Payment Method

Credit Card
Pay offline via Cash or Check

Credit Card

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