Wilderness Ranch


Registration Form 2012

Please type camper information into form, print, sign and send.

Camper Information

Name:

Address:

City/Town:

Province/State:

Postal cose/Zip code:

Country:

Phone:

Fax:

E-mail:

Age:

Sex:

Camp

First Choice:

Second Choice (if applicable):

Camper signature if camper is 18 or older. Parent or guardian signature if camper is younger than 18.

Signature: