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Spring Back to You Registration

Participant Information

Name
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DOB
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Phone
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Address
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Email
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Allergies
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Injuries
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Cabin mates
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Please list top 7 Activities: Bootcamp, Skincare bootcamp, Nutrition hour, Yoga, Mindfulness, cake decorating, Pilates, PiYo, Zumba, High Ropes, Low Ropes, Canoeing, Guided Trail Walk, Rock climbing wall, nap/break

Top 7 Activities
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Food Concerns

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Drink Option W/Dinner
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Additional details
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Payment Information

Payment Method

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How did you hear about Spring Back to You?
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Waiver 1
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Waiver 2
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Waiver 3
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Waiver 4
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Waiver 5
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Emergency Contact

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Address
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Phone
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Email
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*An email will be sent out to all participants at the beginning of April 2016 with your schedule, list of items to bring and event info!