One moment please...
Wild Living Program Registration
Contact Information
Name
*
First Name
Last Name
Email
*
Verify Email
*
Main Phone Number
*
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Participant Age
*
Participant Gender Identity
*
Program Cost
*
$350.00 - June 11-13, Session 1: Back to Basics
$350.00 - September 17-19, Session 2: Backcountry Expedition ($25 price increase August 6th)
Pay Deposit (or pay for the whole camp now to save time later)
*
$150
-
We require a $150.00 non-refundable deposit at the time of registration.
$
How did you hear about us
*
Additional Comments:
Special notes, friends to be paired with, feedback, 2020 camp refund amount to rollover into this year, etc.
Future Communication
*
Can we email you with updates?
Yes
No
Add 3% to my total amount to help cover the payment processing fees