Registration

Women's Experience Registration 2022 Registration

Please complete the form below for each attendee to camp.

First Name(*)

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Last Name(*)

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eMail(*)

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Phone Number(*)

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Street Address(*)

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City(*)

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Zip(*)

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Age as of December 31, 2022(*)

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Current Grade in School(*)

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Ward(*)

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Parent or Guardian Name(*)

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Emergency Contact Name

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The name of someone not at camp to contact in case of an emergency.

Emergency Contact Phone

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Allergies to food or medicine(*)

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Special Physical/Mental Health Considerations(*)

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Medications(*)

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Other

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Any other information Stake Leaders should know (This information will be kept confidential)