Contact information

First name

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Last name

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Phone

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Phone type
Email address

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Address

Address

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Apartment, suite, etc. (optional)
City

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Country/region

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State

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ZIP code

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Additional details

To help the Skowhegan Outdoors staff provide you with the safest hiking camp experience possible, please complete the following questionnaire.  Please keep in mind that each participant should already be able to walk at least 3 miles continuously.

Participant Date of Birth (MM-DD-YYYY)

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Emergency Contact Info #1 (please include first, last name and contact phone number)

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Emergency Contact Info #2 (please include first, last name and contact phone number)

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Please list all known allergies (food allergies, asthma, bee stings etc). If none, please respond none.

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Please choose one from the following options that best describes the participant's camping/ hiking experience.

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Is there anything else we should know?

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Registration fee

A registration fee is required to participate

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Payment

All transactions are secure and encrypted

Card number
Cardholder name

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Email address

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Account holder name

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Email address

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Billing address

Address

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Apartment, suite, etc. (optional)
City

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Country/region

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State

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ZIP code

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Confirmation

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