The Wild Traveler :: Teen Adventure Camps | Teen Travel | Teen Summer Camps

Home
About Us
Our Teen Tours
Our Leaders
Trip Resources
Contact Us
- Our Office
- Inquire Online
Apply Today!

Apply Online

ONLINE APPLICATION

Apply online! Fill out the application form below. If you have any questions, give us a call! 1-866-514-0829. Our office is open 7 days a week, 9am - 8pm PST.

Trip Applying For*
PARTICIPANT INFORMATION
Name*
FirstLast
Prefer to be called
Gender*
- M
- F
Address*
Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry
Phone*
Participant's Email*
Age at start of trip*
Date of Birth*
(mm/dd/yyyy)
Height*
Weight*
Adult T-shirt Size*
- Small
- Medium
- Large
- X-Large
Are you attending with a friend?*
- Yes
- No
If so, who?
STUDENT INFORMATION
Name of School*
Current Grade*
Sibling's Name & Age
Sibling's Name & Age
REFERENCES
Please list two teachers we can contact.
Name (Teacher 1)*
FirstLast
School Phone Number (Teacher 1)*
Email (Teacher 1)*
Name (Teacher 2)*
FirstLast
School Phone Number (Teacher 2)*
Email (Teacher 2)*
PARENT / GUARDIAN #1 INFORMATION
Please provide the following information for the first parent or guardian
Name*
FirstLast
Occupation*
Address*
Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry
Home Phone*
Work Phone
Cell Phone*
Fax
Email*
PARENT / GUARDIAN INFORMATION #2
Please provide the following information for the second parent or guardian (if applicable)
Name
FirstLast
Occupation
Address
Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry
Home Phone
Work Phone
Cell Phone
Fax
Email
Parents' preferred email address for communication*
- Mother
- Father
Applicant lives with*
- Both Parents
- Mother
- Father
- Joint Custody
Who should receive all correspondence?*
- Both Parents
- Mother
- Father
PAYMENT PLAN
Tuition will be paid by:*
- Father
- Mother
How did you hear about The Wild Traveler?*
- Parent
- Friend
- Presentation
- Brochure
- Camp Fair
- Website
- Teacher
PARENT OR GUARDIAN OF A MINOR
I, as a parent or guardian of the below named minor, believe that my child or ward is capable of handling both the emotional and physical aspects of this trip and that he/she is ehtusiastic about participating in it. I hereby give my permission for my child or ward to particiate with The Wild Traveler and agree, individually and on behalf of my child or ward, to the "Responsibilities of Each Party" and accept the "Payment Terms and Conditions".
I have read and agree with the above statement, the Responsibilites of Each Party, and the Payment Terms and conditions.*
If you agree to the above, please type the words "I AGREE"
Parent / Guardian Name*
FirstLast
Date*
Participant Name*
FirstLast
Date*