Weekend in Wise
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1. Default Section
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1
. Full Name
Full Name
*
2
. Phone Number
Phone Number
*
3
. Email Address
Email Address
*
4
. City, State
City, State
5
. How many people will you be coming with? Any children?
How many people will you be coming with? Any children?
6
. Are you able and willing to camp? Camping spaces will be arranged and non-camping space is available but limited.
Are you able and willing to camp? Camping spaces will be arranged and non-camping space is available but limited.
Yes, Camping! I have gear.
Yes, Camping, but I need a tent and/or sleeping bag.
No thanks on camping, I prefer a bed.
No thanks on camping, I will arrange for a hotel room.
7
. Food preferences. Please check all that apply and we will do our best to accommodate you.
Food preferences. Please check all that apply and we will do our best to accommodate you.
Vegetarian (no meat).
Lactose intolerant (no dairy).
Vegan (no animal products).
Omnivore (I eat everything).
Other (allergies), please specify
8
. Do you have any special needs that we should be aware of?
Do you have any special needs that we should be aware of?
9
. Do you work with any organization, school, non-profit, or community group?
Do you work with any organization, school, non-profit, or community group?
10
. What do you hope to get out of this experience? Have you ever seen mountaintop removal before?
What do you hope to get out of this experience? Have you ever seen mountaintop removal before?
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