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)

Session 1 (June 7-11): 1 Week Tree Frog, Ages 6-8
Session 2 (June 14-25): 2 Week Tree Frog, Ages 6-8
Session 3 (June 28 - July 2): 1 Week Tree Frog, Ages 6-8
Session 4 (July 5-9): 1 Week Tree Frog, Ages 6-8
Session 5 (July 12-23): 2 Week Tree Frog, Ages 6-8
Session 6 (July 26-30): 1 Week Tree Frog, Ages 6-8
Session 7 (August 2-13): 2 Week Tree Frog, Ages 6-8

How did you hear about us?

Would you like to be added to our email list?

Yes

Additional Comments

What is your child's gender

Girl
Boy
Transgender/Other

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.

Tier A (one week): $250
Tier B (one week): $300
Tier C (one week): $350
Tier A (two week): $450
Tier B (two week): $575
Tier C (two week): $650
I need additional financial assistance below Tier A

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

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