Alumni Database Registration

We're so glad to have found you again!

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* 1. First Name

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* 2. Last Name

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* 3. Former Last Name (if applicable)

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* 4. Address

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 5. At which of our camps did you work? (check all that apply)

Belwood

Ki-Wa-Y

Wabanaki

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* 6. What years did you work there?

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* 7. Do we have your permission to email you are bi-annual newsletter, Morning Dip?

Yes

No