2008 Adult Opportunities Registration Form
Please complete and mail with your registration fee. |
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| Address: |
City: |
State: |
Zip: |
| Home Phone: ( ) |
Work Phone: ( ) |
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| Email Address: |
| Emergency Contact: |
Emergency Phone: ( ) |
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Saturday Workshops - $85 |
 July 24: Simple Shelters
August 8: Wild Edibles and Medicinals
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Medical Information: Insurance Name:______________________________ Number:________________________
Doctor's Name: ____________________________ Telephone: __________________________
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____Check/Money Order Enclosed ____MC/Visa #___________________ Ex Date__________
| Confirmation and permission form will be mailed to you. |
See you at camp! |
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