Adult

$0.00

Full name: *

Category of registration: *

Type of work (if work exchange or staff):

Number of days: *

Day of arrival: *

Time of arrival: *

Day of departure: *

Time of departure: *

Name and number of emergency contact while at camp: *

Name and phone #

Shuttle to camp:

Arrival Date / Time / Flight number & Airline or Train:

Shuttle from camp:

Departure Date / Time / Flight number & Airline or Train:

Cell phone number for shuttle pick-up:

Dietary: Fish or Vegetarian: *

Fish

Vegetarian

Dietary: Chicken or Vegetarian: *

Chicken

Vegetarian

Dietary: Beef or Vegetarian: *

Beef

Vegetarian

Dietary: Lamb or Vegetarian: *

Lamb

Vegetarian

Special dietary needs:

Type of class you are most interested in: *

Type of class you are second most interested in: *

Type of class you are third most interested in: *

Sleeping preference: *

Please note: if you snore, please bring a tent or a vehicle to sleep in.

Cabin preference:

Car:

Make/model/color/license plate of vehicle I am likely to be driving to camp.

I can afford to pay more:

Because I love Camp Fareta and I can afford to pay more for camp, I am making a contribution toward the Camp Fareta scholarship fund.

Agreement: *

I agree to the following:

I understand that I am responsible for my own physical and emotional well-being and that neither Camp Fareta, Dancing Village Productions, nor the site management is responsible for personal injury or loss of property during the event.

I understand that Camp Fareta and Hye Sierra and their staff reserve the right to ask me to leave due to disruptive, disrespectful, or inappropriate behavior INCLUDING DISREGARD FOR SMOKING/FIRE SAFETY GUIDELINES.

I agree that my likeness, image, and/or sound of my voice in still and moving images taken at Camp Fareta may be used for promotions, or I will let it be known by email before camp begins that I wish to be excluded from this.

I understand that I might contract Covid-19 at Camp Fareta, and that this may cause serious illness or even death. I accept this as a risk of my participation. I also understand that even if I contract Covid-19 at camp and do not become seriously ill, I could infect others, who may be more vulnerable than I am.

For questions, email:

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