The Wanderland Rites of Passage Camp Sign Up Form Student Name * First Name Last Name Age of Student * Parent / Guardian Name First Name Last Name Email * How would this student benefit from this program? * Phone (###) ### #### Best time to discuss Mornings Afternoons Evenings Equipment Needed This is a checklist of all the items you need. Please look over this and come prepared. If you need any of these items we can work with you to get what you need. Sleeping bag Flash light / Head Lamp Comfortable boots Long sleeve shirt Long pants with belt Extra pair of socks and underwear Water bottle Back pack to carry Who referred you? * Dietary or Medical conditions of note? Please let us know of any diet or medical conditions we should know about. Tee Shirt Size Small Medium Large Extra Large XXL Thank you! We will contact shortly to discuss. We appreciate your interest. Please make payment here: Rites of Passage Payment
