2024 E6 Indian Winter Registration
January 5-7, 2024 Camp Bert Adams
Participant Name
*
First Name
Last Name
Email
*
example@example.com
Age Category (at date of event)
*
Youth Under 18
Youth 18-20
Adult (21 and older)
Gender
*
Male
Female
Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Select your Lodge
*
Alibamu
Aracoma
Chattahoochee
Coosa
Echeconnee
Egwa Tawa Dee
I-Tsu-La
Ini-To
Mowogo
Waguli
Withlacoochee
Do you have any dietary restrictions/ food allergies? If so, please list them.
Do you have any major medical issues that needs the attention of the host lodge? (special accessibility)
CPAP users please prepare to bring your own portable power source.
Late Fee Starts December 15, 2023
Checkout
*
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next
( X )
Registration Fees
$
25.00
Quantity
1
Subtotal
$
0.00
Tax
$
0.00
Total
$
0.00
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
There will be NO Refunds After Dec. 14, 2023
Please Click the Submit Button Only Once
If you click the Submit Button more than once, you may be charged more than one fee
Submit
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