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Wilderness Youth Project
5386 Hollister, Ste D
Santa Barbara, CA 93111

(805) 964-8096
(805) 456-3838 Fax

info@wyp.org

Summer 2010 Web Form Tree Frogs


Your Name
Your Email Address
Your Child's Name
Child's Date of Birth
Child's Age
Best Contact Phone Number
Programs you'd like to attend (please list ALL
possible sessions so we can best match you with
openings)







How did you hear about us?
Would you like to be added to our email list?
Additional Comments
What is your child's gender


How many total sessions do you want?
Please choose a payment tier (Choose the highest
tier you can afford. Tier C represents the
actual cost to WYP). Scholarships below Tier A
are available upon request.







If you need financial assistance below Tier A,
please write in the amount you can afford here.
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