|
Doe Camp at Camp Abnaki 2010
September 10-12, 2010
Registration Form
Please
fill out all the requested information (Deadline - Postmarked by Aug 29th)
IMPORTANT APPLICANT NOTES:
Doe
Camp registration
is on a first come first served basis. You do not need previous outdoor
experience to attend. Each class is designed to offer hands-on experience
for beginners and pros alike in a supportive environment. Participants
must be at least 18 years of age. Most classes will include a trip to the
woods or water so please dress comfortably and sensibly. We recommend that
you bring hiking shoes/sneakers and rain gear since classes will be held
rain or shine. Camp Abnaki sleeping accommodations are in rustic cabins so
don’t forget warm sleeping gear!
Please
read the class descriptions carefully for details on what clothing/gear
and levels of physical activity and experience are expected.
Equipment is provided
(Exceptions are noted in course descriptions). However, please feel free
to bring your own equipment. Your firearms MUST be stored unloaded and
kept in a locked case or with trigger lock. If you intend to fish, please
bring along your 2010 fishing license.
Confirmation:
Upon receipt of your payment, we will send you an email confirming your
payment. A letter listing your class choices and schedule will be sent to
you as soon as it is available. Directions and a map to Camp Abnaki will
be included. Please consider carpooling!
Cancellation Policy:
Vermont
Outdoors
Woman will
accept cancellation and will refund the entire amount of the registration
if the cancellation is received before August 29th. Request for a refund
must be received in writing; no phone cancellations will be accepted.
Cancellations received after Aug 29th will be charged a $35 processing fee
and
Cancellations after September 3rd will forfeit the entire program fee.
Substitutes are
allowed.
Note: If you
apply for a VOW scholarship and are denied, we will refund your
registration fee at your request regardless of the date.
|
PARTICIPANT INFORMATION
(Please print clearly) |
|
First Name:
_____________________ Last Name: _______________________
Mailing Address: ________________________________ City:
_________________ State: _______ Zip: _______________
Phone:
________________________ E-mail: ______________________________
Occupation:
___________________ Birth Date: ___________________________
do
you receive our e-newsletter? ___ yes ____ no ____ please add me! |
|
If you are claiming
the "Mother- Daughter Special", please write her name below and
indicate your relationship. |
|
Name: |
|
EMERGENCY
&
MEDICAL INFORMATION |
|
Emergency
Contact: ________________________ Phone Number:_______________
Do you have any
medical conditions, injuries, allergies, dietary restrictions, and are
you taking any medication? Yes __ No __
If
yes please explain:
|
|
Your signature implies acceptance of terms and conditions above and
disclaimers below. Please direct questions to the VOW office staff. |
|
***
Signature: |
*** Disclaimers: Registration
implies acceptance
that there is
inherent risk
in all outdoor pursuits
including accidental death and serious injury. Participants attend Doe
Camp at their own risk. Class schedules and instructors are subject
to change. The staff at Doe Camp reserves the right to make
appropriate changes in the schedule if necessary. Any photographs and
video taken of participants may be used to promote Vermont Outdoors
Woman and the Vermont Outdoor Guide Association. Thank you for your
participation.
|
|
Please Consider Carpooling! We’ll help you find people in your area. |
|
I’m Interested:
_______________ Notes:________________________________ |
|
*Optional, For all Camp activity:
List either a rare
fact about you or rare experience you have had. For example: “Have
hiked Mt. Everest,” “Have more than a dozen pets….” |
|
|
|
Please let us know
which previous VOW events you have attended
(if any). (optional) |
|
|
|
Please let us know how you heard about Doe Camp! |
__ Postcard __
Email __ Web __ Newspaper __ Magazine __Radio __ TV
__ Word of Mouth- Who? _____________________ Other:
___________________ |
|
PAYMENT INFORMATION
(please check appropriate lines) |
Program Fee:
includes lodging for Friday & Saturday nights, all meals from Friday
lunch through Sunday lunch, instruction and giveaways.
___ $280 after July 1st
Drive in
(Includes all meals, classes and giveaways) Indicate your drive in
day:
______
$75.00 per day
Friday ___ Sunday ___
______
$
90 Saturday |
|
WEEKEND DISCOUNTS |
|
____
10%
off program
fee
for Mother/Daughter/s attending together
_____
10%
off
program fee
for wives, partners, fiances, mothers and daughters of soldiers
abroad. Soldier name:
|
|
Scholarships |
|
If
you are selecting this option, please be sure to fill out the
application form below and send in your application immediately. There
are only a limited amount of scholarships available and will be
awarded on a first come first serve basis. If you are not selected you
will be contacted and given the opportunity to pay the additional
amount, or we will promptly refund your entire application.
Other discounts ie. camping, are not available with a scholarship.
_____ $190.00
VOW
Partial Scholarship Program FEE includes all of the above
_____ $155.00
Student Scholarship Program FEE includes all of the above. |
|
VOW
MEMBERSHIP
(Optional) |
|
Join
us! Your membership will help us continue to provide these programs
and others like them. In addition, membership will grant you
discounts to many programs, products and services provided by our
sponsors and partners. Your suggestions are always welcome.
____
$25
one year's
membership ____
$40 one
year's Mother, Daughter membership |
|
Instructors! |
|
Instructors donate their time and expertise to make Doe Camp an
affordable and exceptional weekend. We will be collecting money for
their travel expenses at the event or you can donate now.
Suggested donation: $10-20. |
|
Raffle!
(you
do not need to be present to win, raffle tickets will be sold at the
event as well ) |
|
Program fee includes one free raffle ticket
for the chance to win hundreds of dollars in prizes.
$5.00 One
Ticket
$20.00
Five tickets
$50.00
Fifteen tickets |
|
Total Weekend Cost
You
can now pay with plastic through our paypal account; however, there
will be a 3% service fee.
No need to write down your number, we will send you an invoice via
email. |
|
Program Fee: _________
+ VOW Membership: _________
+ Instructor Donation: _________
+ Raffle Tickets _________ |
Subtract Total Discounts: _______
_______
+
credit card service fee _______
Total ______ |
|
Want
to help us spread the word about Doe Camp? |
|
Please, send me #____
additional brochures. |
|
Please send your check payment to P.O. Box 10 N. Ferrisburgh, VT 05473 |
You
will be assigned FOUR courses.
Note:
Please look at the schedule to make sure that your top choices do not
conflict!
In order for you to get
your most preferred courses, please write the numbers
1
through 10 in
the spaces provided indicating your top ten classes (1 being your most
favored choice.) We make every effort to give you your top four choices
but as classes fill up, we use the rest of your selection.
Schedule, Course Descriptions
and
Instructor Bios
are available on the website. Please read them carefully before choosing
a course, it is very possible that there will be schedule conflicts , so
please check the schedule before you make your choices. All course
selection is subject to availability and some may be changed or added.
Please
make sure to check your level when applicable.
|
ARCHERY
____ Archery Basics
____ Advanced Archery, 3D targets
CHALLENGES
____
Geocaching
FISHING SKILLS
____ Fishing with Live Bait and Lures
____ Fly Fishing
FOREST & LAND MANAGEMENT
____ Forest Management and Tree I.D.
GAME COOKING
____ Open Fire Camp Cooking
|
|
|
SHOOTING CLASSES
____ Handgun Skills
____ IPSC Advanced Handgun
____ Rifle Skills
____ Muzzleloader Skills
____ Shotgun Skills
SPORTS
& RECREATIONAL SKILLS
____ Full Day, Missisquoi
Wildlife Refuge
____ Island Bike Tour
____ Kayaking Nature Tour
____ Kayaking __Int. __ Beg
____ Self Defense
____ Sailing
____
Stand up Paddling
SURVIVAL SKILLS
____ Getting Unstuck
____ Map and Compass
____ Wilderness Survival
____ Wild Plant Walk |
Notes:
|
Application for VOW & Student Scholarships |
|
Please Check One:
Vermont Outdoors Woman Partial Scholarship Program ___ Vermont
Outdoors Woman Student Scholarship Program __
These questions are to help us select eligible scholarship recipients,
Students, please include proof of student status. Thanks! |
|
Why
do you want to go to Doe Camp? Please attach additional sheet of paper
if necessary:
|
|
Why do you feel that you should be awarded the scholarship?
|
|
