Post Registration

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Name*

First Last

Phone*

Email*

Company/Organization*

Address*

Street Address Address Line 2 City State ZIP Code

How many years have you attended camp (counting this year)?:*

Please enter a number from 1 to 25.

T-shirt size

Emergency Contact Name (not yourself)*

Emergency Contact Cell (not yourself)*

Dietary Restrictions

Allergies*

Is this allergy life threatening?*

Activity Selection

Select activities in order of preference (1st, 2nd and 3rd choice) for each time period.

Interested in coming early on Wednesday?*

Depending on availability you may attend one session before lunch with the women in their 10:30 a.m. session.

Wednesday, Aug. 19 – 1:30-3 p.m.

1st Choice*

2nd Choice*

3rd Choice*

Wednesday, Aug. 19 – 3:30-5 p.m.

1st Choice*

2nd Choice*

3rd Choice*

8:15 p.m. Nefouse Memorial Poker Tournament

8:15 p.m. Paracord Bracelet Making

Thursday, Aug. 20 – 8:30-10 a.m.

1st Choice*

2nd Choice*

3rd Choice*

Thursday, Aug. 20 – 10:30 a.m.-Noon

1st Choice*

2nd Choice*

3rd Choice*

Thursday, Aug. 20 – 1:30-3 p.m.

1st Choice*

2nd Choice*

3rd Choice*

Thursday, Aug. 20 – 3:30-5 p.m.

1st Choice*

2nd Choice*

3rd Choice*

8:30 p.m. Euchre Tournament*

8:30 p.m. Wine Tasting with RNDC*

Friday, Aug. 21 – 9:00-10:30 a.m.

1st Choice*

2nd Choice*

3rd Choice*