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Registration form for
SpiralHeart WitchCamp Talent Show 2008
(talent show only or talent show and Friday overnight)
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August 8th - 9th, 2008 |
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Type of Registration |
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Dinner Friday 8/8, the Talent Show,
Overnight 8/8, and Breakfast 8/9 - $60:
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Dinner Friday 8/8 and Talent Show only -
$30:
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Contact Information |
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First Name
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Last Name
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Magical Name
(if any)
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Primary Phone
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Mailing Address
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City
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State
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Zip/Postal Code
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Country
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Email Address |
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Do you prefer to receive camp information
via
Email or
Postal Mail? |
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Personal and Dietary Information |
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Please indicate your gender:
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Room assignments are generally same-gender; exceptions
may be on request based on the Registrar's assignments of rooms for the
camp week. If you specifically want same-gender accomodations, check
here:
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If you want to stay in the same room as someone who will
already be at camp, please indicate the person(s) here: |
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Please note that the Claymont Retreat
Facility does not offer private rooms. |
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What is your dietary preference?
Omnivore |
Vegetarian |
Vegan |
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If you have special dietary needs due to allergies, please
provide a brief description:
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You are primarily responsible for your own self-care. Please
note that Claymont is approximately 540 ft. above sea level, and is a
rustic location. If you have medical conditions that would be affected
by altitude or pollens differing from your normal environment, please
be sure to bring the supplies and/or medications you may need to cope
with problems that may arise. |
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Emergency Contact Name:
Emergency Contact Phone:
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Do you have any physical disabilities that would make climbing
hills or stairways a problem?
Yes |
No |
If yes, please describe: |
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Do you have any medical conditions that we should be aware
of?
Yes |
No |
If yes, please describe: |
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Are you a smoker?
Yes |
No
Be aware that smoking is restricted to specific designated areas; all indoor
locations are smoke-free. |
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Privacy Agreement |
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As the Goddess commands, “you shall assemble in some
secret place”, so we guard the secrets of our kindred. I agree to respect
and maintain the privacy of the camp and my fellow campers. I will
not reveal any information of a personal nature, unless specifically
permitted by the parties concerned.
I agree to the above statement. |
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Please click the Submit button once. It may take up to
a minute to process your registration. |
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