*Remember to REGISTER online for Action Camp!

If you are wanting to come to CWAC2013, please send the following registration info posted below to:  centralwiactioncamp [at] gmail [dot] com. We will send you the camp location and additional information after you register. Thanks.
Name?:
How did you hear about the action camp?:
Phone Number (optional):
City you are coming from?:
Are you willing to Carpool?:
Attendance (Friday? Saturday? Sunday? Monday? All?):
Camping on Site?:
Do you have any dietary restrictions, allergies or preferences?:
Are there any other personal, medical or health related needs we should know about?:
Emergency Contact (name and phone):
Registration Contribution (To support the costs of the camp (food, gear, venue etc) a $35 donation is suggested per person. No one will be turned away from camp for lack of funds – scholarships are available for all or partial amounts.):
Questions / Comments ? Other things we should know?:
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