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Fort Caswell Summer Retreat Sign-Up
This form must be filled out once per individual who wishes to attend; both minors and chaperones.
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* Indicates required question
First name
*
Your answer
Last name
*
Your answer
As of 2/26, there are no more spaces for female students or female chaperones. Any sign-ups for female students/chaperones will be added to a waiting list.
Male/Female
*
Male
Female
Cell Phone Number
*
Your answer
Grade/Age as of this coming fall.
*
7th Grade
8th Grade
HS Freshman
HS Sophomore
HS Junior
HS Senior
HS Graduate
Junior Chaperone (18-20 y/o)
Adult Chaperone (21+ y/o)
Which campus do you attend? If a guest, list who invited you (Friend of ______).
*
Pole Green
Hebron
Other:
What is your shirt size in unisex adult?
*
XS
S
M
L
XL
XXL
If you are an Adult Chaperone (21+), and have a truck or an SUV, are you willing to drive separately if needed?
Yes
No
Clear selection
Do you need a discount? (Others will not see this)
No ($320 per student, every child after 2nd from one household is half-off)
Small discount ($200 per student)
Medium discount ($150 per student)
Large discount ($100 per student)
Clear selection
Allergies/Medical Information (if none, leave blank)
Your answer
Submit
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