2024 Lost Canyon Wk 6 - AZ36

Prescott

WYLDLIFE SUMMER CAMP

2024 Lost Canyon Wk 6 - AZ36

WHERE: Lost Canyon

WHEN: July 5 - July 9th 2024

Departure: Friday, July 5th

Return: Tuesday, July 9th

COST: $550 a deposit of $50 is required to hold your spot.

Money is nonrefundable after July 1st.

After completing this form, a confirmation will be sent with the information you have entered below.

Questions and Information

Contact us at:

Jon Boothe

928-308-8239 / [email protected]

Participant Information

Guest Type*

Is this your first time at summer camp?*

Yes
No

If this is your first time, who invited you?*

Registration Options*

Register with a deposit or full payment ($550.00)
Please select to make a deposit or full payment below. Your card will not be immediately charged.
Register without a deposit ($550.00)

Participant Name*

Date of Birth*

Phone*

Phone Type*

Email*

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Participant Address*

Gender*

Male
Female

Additional Comment

Ethnicity*

T-shirt Size

School

High School Graduation Year

Additional Comments

Parent / Guardian Information

Name*

Phone*

Phone Type*

Email*

Address is same as participant

Address*

Would you like to cover the 2.5% credit card processing fee?*

Total

$0.00

Billing Information

Name*

Payment Method

Credit Card
Cash/Check

Credit Card*

Visa
Mastercard
American Express
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Address*

Email*

RegFox Event Registration Software

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