Registration Form

diy family Camp 2018

at Little Basin Cabins & Campground

21700 Little Basin Road, Boulder Creek, CA 95006

Please complete this form for your family to attend WOLF School's DIY Family Camp at Little Basin. Thank you!

Participant Information

Number of Adults Attending

Number of Children Attending

Adult Full Name(s)

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Day Phone

(###)

###

####

Evening Phone

If different from day phone.

(###)

###

####

Email Address

Child 1 Name

First Name

Last Name

Child 1 Age at Camp

Child 2 Name

First Name

Last Name

Child 2 Age at Camp

Child 3 Name

First Name

Last Name

Child 3 Age at Camp

Child 4 Name

First Name

Last Name

Child 4 Age at Camp

School Name(s)

Allergy/Special Needs Information

1st Emergency Contact

2nd Emergency Contact

Camp Information

Weekend Attending

July 5-8 and July 12-15 camps will be held in the Group Campground. July 26-29 camp will be held in Deer Meadow.

List campsite requests and/or families requesting to share campsites

Payment Method

Camp Cost: $285 If paying by check, please make payable to UCCR and mail to: Web of Life Field School, PO Box 2517, Aptos CA 95003. To pay by credit card, please click the "Pay Now" button below after submitting this form.

Terms & Conditions

I understand that my family is attending WOLF DIY Family Camp. I accept all financial responsibility for my family’s attendance. In consideration of participation in this program, I hereby indemnify and hold harmless UCCR, WOLF School, the State of California, its officers, employees, servants, agents, employees and volunteers from any and all liability for any injury suffered by me and/or my child/family member/ ward, arising from or connected with this program and I assume all risk for injury. I understand that we will be participating in a summer camp program involving physical activity, hiking and physical challenges and understand there are risks inherent in said program and accept full responsibility for our participation. I understand that my family will be camping in shared camping and that I or my family member(s) may be asked to leave the program if I or my family is not following the rules of camp in the sole opinion of the WOLF School representative. IN CASE OF MEDICAL OR SURGICAL EMERGENCY, I hereby authorize the physician selected by the Program Director to secure all proper and required treatment for my child/ward in my absence. I agree that any photographs/video of myself/my family taken by staff or others authorized by them, or any, writing, artwork and/or testimonials submitted myself/my family to the WOLF School shall be the property of the WOLF School and may be used by the WOLF School and others authorized by them at its discretion and I hereby consent to and authorize such use without restriction. CANCELLATION POLICY: if you need to cancel, a 4 week written notice is required for a refund, minus $20 nonrefundable service charge. After this date, the fee is non-refundable. DIY camps that do not fill may be canceled/refunded or modified with your agreement. We will notify you up to 4 weeks prior if this is a concern. We apologize for any inconvenience.

Adult Signature

By entering your name below, you agree to the aforementioned terms and conditions.

First Name

Last Name

Date

YYYY

Complete the registration process by submitting your payment for camp...

Pay Now

WHAT TO BRING

Tent & Camping Gear
Breakfast & Lunches
Thursday Dinner

WHAT’S PROVIDED

Thursday Dessert
Friday Dinner/Dessert
Saturday Dinner/Dessert