Healthy Deviant Day Camp Application

Healthy Deviant Day Camp Application

Thanks for your interest in joining Pilar for this special event on her family's organic farm in Wisconsin, on Saturday, August 9! Please complete all of the following required questions. Click the blue "Submit" button when finished. After we've reviewed your application we'll get back to you with a link to sign up and pay.
Name*

First NameLast Name
Email*
example@example.com
Which of Pilar's program(s) have you participated in? (Choose all that apply.)*

Healthy Deviant URefine Your LifeVIP DayHealthy Deviance at Work14-Day Adventure Online CourseNoneOther
How did you hear about this event?*
Where are you coming from? (Please note that we can't provide airport transportation or accommodations, but we will send helpful information.)*
Would you like to invite another person (17 or older) to come with you (keeping in mind that cost is per person)?*

YesNo
If yes, how many people would you want to invite?
Are you committed to attending Healthy Deviant Day Camp on August 9, 2025 and paying the fee of $495 per person (payable at time of registration - $100 is a non-refundable deposit)?*

Yes!I'm still thinking about it.
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