Your Name (required)

Your Email (required)

I am a/an:

ScoutAdult

I affirm that I am a qualified swimmer (Blue Tag at Scout camp, or better):

YesNo

Do you have/do any of the following

Food AllergyEnvironmental Allergy (bee sting, etc)Carry an Epi-Pen

Please explain:

Age (required)

Any special requirements or travel needs?

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