Jack Mountain Bushcraft School Registration Form
First Name:
Last Name:
Course Or Trip:
Date(s):
Will You Be Using The GI Bill?
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Phone:
Email:
Mailing Address:
Town/City:
State/Province:
Zip/Postal code:
Date Of Birth:
Gender:
Payment Preferences
Method Of Payment
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Credit Card Via PayPal
Check Or Money Order
Bank Transfer via Wise
Payment Plan - TFC
GI Bill
Emergency Contact Information
Contact Name:
Contact Phone:
Contact Email:
Relationship To You:
For Wilderness Bushcraft Semester Only
Essay: Please email a short essay to tell us about you and why you want to participate in the program. Length is unimportant; helping us learn something about you is.
Referred To The WBS By
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Yes, subscribe me to the Jack Mountain Bushcraft School email list.
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