Registration form - Earthbound Futures day camp 2021
EARTHBOUND FUTURES SCI-FI WRESTLING DAY CAMP
ACTIVATE YOUR SUPER-HERO WITHIN!

A FREE TWO-WEEK ADVENTURE INTO CHARACTER DEVELOPMENT AND CREATIVE EXPRESSION FOR FOR 2SLGBTQIA+ YOUTH (ages 13 - 17)


If you have any questions, please email: Earthboundcamp2021@gmail.com


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Full name of participant
preferred name(s)
preferred pronouns
Age
Contact phone number
Contact e-mail
emergency contact (name, relationship to participant, phone number)
Are there any allergies, medications or medical conditions that we should know about? Please provide details that will help us accommodate the participant and ensure their health and well-being.
Does the participant have any accessibility needs or accommodations we should know about? Please provide details
CAMP ATTENDANCE: Will you be participating in the full two weeks? If not, what days will be able to join us (ex: I can only make it tues and wed, or I can only participate for the second week)
DROP-INS: For those who would like to participate in our activities but cannot be with us regularly, we have the option for drop-in workshops. Please let us know which ones you would like to join. Here is the list: https://www.facebook.com/events/1131980467324449
***ANY QUESTIONS*** email us at earthboundcamp2021@gmail.com
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