2017 Summer Camp Registration Which camp would you like to attend?*All Girls Expedition: July 17-22All Boys Expedition: July 24-29Backcountry Field Study (co-ed): Aug 7-12Camper InfoCamper Name* First Last Camper Email (optional) Camper Birth Date* GenderWild Society welcomes all identities; please fill out as camper identifies, or leave blank.MaleFemaleParent/Guardian InfoParent/Guardian Name* First Last Parent/Guardian Email* Parent/Guardian Primary Phone*Parent/Guardian Other PhonePayment InfoCamps cost $490 per camper. We require a $200 deposit to hold your camper's spot, and payment in full 30 days prior to the start of camp. Thank you!Summer Camp Registration*Send us a check!Make a deposit - $200Pay in full - $490If you opt to send a check (great! No credit card fees for us!), remit to: Wild Society, PO Box 317, Indianola WA 98342Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20172018201920202021202220232024202520262027202820292030203120322033203420352036 Expiration Date Security Code Cardholder Name Questions/CommentsWhere did you hear about our summer camps?Okay to add you to our mailing list? Yes please No thanks This iframe contains the logic required to handle AJAX powered Gravity Forms.