Name *

First Name

Last Name

Mobile *

(###)

###

####

Select Your Gender *

Male

Female

Who are you traveling with? *

Spouse and/or child

No, by myself

Emergency Contact Number *

(###)

###

####

Are you under 18 years old? *

Yes, you will be contacted to complete the Guardian's Consent Form

No

Do you need transport to go to the camp site? *

Yes, please

No, i will drive my own car

Amount paid *

I have paid $80 non refundable deposit for each adult ONLY

I have paid full payment $165 (Adult pricing)

I have paid full payment as family

*

I represent and acknowledge that I or my family have completely read and understand this document and all its terms and all matters referred to herein, and I signed voluntarily as my free act and deed.