Wilderness Medicine Camping Form

Select the days you will be camping. The price to camp is $10/night.*

WFA- 9/9-9/10

WFR- 10/19-10/23

Full Name*

First Last

Phone*

Email*

Address*

Street Address City State ZIP Code

I understand the I am responsible for cleaning up my campsite before leaving the premises.*

I understand

I understand that I must be checked out of my campsite before 7:00pm on the final day of the course.*

I understand

I understand that my campsite cannot be larger than a 10'x10' area.*

I understand

Credit Card*

Card Details

Cardholder Name

Billing Address*

Same as previous

Street Address City State ZIP Code

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Promo Code

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