|
Doe Camp at Jay Peak Resort
June 25-27, 2010
Registration Form
Please fill out all the requested information (Deadline - Postmarked by
June 14th)
IMPORTANT APPLICANT NOTES:
Doe
Camp registration
is on a first come/first served basis. You do not need previous outdoor
experience to attend. Each class is designed to offer hands-on experience
for beginners and pros alike in a supportive environment. Participants
must be at least 18 years of age. Most classes will include a trip to the
woods or water, so please dress comfortably and sensibly. We recommend
that you bring hiking shoes/sneakers and rain gear, since classes will be
held rain or shine. There is a pool and hot tub at the venue so don't
forget to pack a bathing suit!
Please read the class descriptions carefully for details on what
clothing/gear and levels of physical activity and experience are
expected.
If you will be joining us
at Jay Peak Resort overnight, you will be responsible for all personal
charges to your room (i.e., phone calls) and one person must present a
valid credit card at the front desk during check in. Your lodging options
are the following: double occupancy in a Studio or 1 bedroom suite or
triple occupancy in a two bedroom suite. Larger groups, please contact us
directly for other options.
Equipment is provided
(Exceptions are noted in course descriptions). However, please feel free
to bring your own equipment. Your firearms MUST be stored unloaded and
kept in a locked case or with trigger lock. If you intend to fish, please
bring along your 2010 fishing license.
Confirmation:
Upon receipt of your payment, we will send you an email confirming your
payment. A letter listing your class choices and schedule will be sent to
you as soon as it is available. Directions and a map to Jay Peak Resort
will be included. Please consider carpooling!
Cancellation Policy:
Vermont
Outdoors
Woman will
accept cancellation and will refund the entire amount of the registration
if the cancellation is received before June 14th. Request for a refund
must be received in writing (email is ok;) no phone cancellations will be
accepted. Cancellations received after June 14th will be charged a $35
processing fee and
Cancellations after June 18 will forfeit the entire program fee.
Substitutes are
allowed.
Note: If you
apply for a VOW scholarship and are denied, we will refund your
registration fee at your request regardless of the date.
Please
send your form and payment to VOW P.O. Box 10 N. Ferrisburgh, VT 05473
|
PARTICIPANT INFORMATION
(Please print clearly) |
|
First Name:
_____________________ Last Name: _______________________
Mailing Address:
________________________________ City: _________________
State: _______
Zip: _______________
Phone:
________________________ E-mail: ______________________________
Occupation:
___________________ Birth Date: ___________________________
do
you receive our e-newsletter? ___ yes ____ no ____ please keep me
posted on women’s events! |
|
If you are claiming
the "Mother- Daughter Special", please write her name below and
indicate your relationship. |
|
Name: |
|
You will be rooming
with one or two other women unless you choose to upgrade to a single.
If you have a preference, please indicate their name/s: |
|
Name/s:
|
|
Please check one:
Night Owl ____ Early
to Bed ____ No Preference ____
This is for determining the location of your accommodations. |
|
Your signature implies acceptance of terms and conditions above and
disclaimers below. Please direct questions to the VOW office staff. |
|
***
Signature: |
|
*** Disclaimers: Registration
implies acceptance
that there is
inherent risk
in all outdoor pursuits
including accidental death and serious injury. Participants attend Doe
Camp at their own risk. Class schedules and instructors are subject
to change. The staff at Doe Camp reserves the right to make
appropriate changes in the schedule if necessary. Any photographs and
video taken of participants may be used to promote Vermont Outdoors
Woman and the Vermont Outdoor Guide Association. Thank you for your
participation.
|
|
Please Consider Carpooling! We’ll help you find people in your area. |
|
I’m Interested:
_______________ Notes:________________________________ |
|
*Optional, For all Camp activity:
List either a rare
fact about you or rare experience you have had. For example: “Have
hiked Mt. Everest,” “Have more than a dozen pets….” |
|
|
|
Please let us know
which previous VOW events you have attended
(if any). (optional) |
|
|
|
First Timers: Please let us know how you heard about Doe Camp! |
|
__ Postcard __
Email __ Web __ Newspaper __ Magazine __Radio __ TV __ Word of
Mouth __ Other: ___________________ |
|
EMERGENCY
&
MEDICAL INFORMATION |
|
Emergency
Contact: ________________________ Phone Number:_______________
Do you have any
medical conditions, injuries, allergies, dietary restrictions, and are
you taking any medication? Yes __ No __
If
yes please explain:
|
|
PAYMENT INFORMATION |
Program Fee: includes lodging for Friday & Saturday nights, all meals
from Friday lunch through Sunday lunch, instruction and giveaways.
_____ $ 370 Full Program Fee
_____ Add $ 70 to upgrade to a single
Drive in
(Includes all meals, classes and giveaways) Indicate your drive in
day:
______
$90.00 per day
Friday ___ Sunday ___
______
$
110
Saturday |
|
WEEKEND DISCOUNTS |
|
_____
$70
off for anyone who stays in a tent. (BYOT)
_____
10%
off program fee for Mother/Daughter/s attending together
_____
10%
off
program fee for wives, partners, fiances, mothers and daughters of soldiers abroad.
Soldier name: |
|
Scholarships |
|
If
you are selecting this option, please be sure to fill out the
application form below and send in your application immediately. There
are only a limited number of scholarships available and they will be
awarded on a first come first serve basis. If you are not selected you
will be contacted and given the opportunity to pay the additional
amount, or we will promptly refund your entire application.
Other discounts ie., camping, are not available with a scholarship.
_____ $220.00
VOW
Partial Scholarship Program FEE includes all of the above
_____ $200.00
Student Scholarship Program FEE includes all of the above. |
|
VOW
Membership
(Optional) |
|
Join
us! Your membership will help us continue to provide these programs
and others like them. In addition, membership will grant you
discounts to many programs, products and services provided by our
sponsors and partners. Your suggestions are always welcome.
____
$25
one year's
membership ____
$40 one
year's Mother, Daughter membership |
|
Raffle!
(you
do not need to be present to win, raffle tickets will be sold at the
event as well ) |
|
Program fee includes one free raffle ticket
for the chance to win hundreds of dollars in prizes.
$5.00 One
Ticket /
$20.00
Five tickets /
$50.00
Fifteen tickets |
|
Instructors!
|
|
Instructors donate their time and expertise to make Doe Camp an
affordable and exceptional weekend. We will be collecting money for
their travel expenses at the event or you can donate now.
Suggested donation: $10-20. |
|
Total Weekend Cost
You can now pay with plastic through our paypal account; however,
there will be a 3% service fee.
No need to write down your number, we will send you an invoice via
email. |
|
Program Fee: _________
+ VOW Membership: _________
+ Instructor Donation ________
+ Room Upgrade: _________ |
+ Raffle _________
+ Class fee _________
Subtract Total Discounts: _________
I’ll pay with a credit card!
+ 3
% _______
Total _________ |
|
Want
to help us spread the word about Doe Camp at Jay Peak Resort? |
|
Please, send me #____ additional brochures. |
You
will be assigned FOUR courses.
Note:
Please look at the schedule to make sure that your top choices do not
conflict!
In
order for you to get your most preferred courses, please write the
numbers
1 through 10
in the spaces provided, indicating your top ten classes (1 being your
most favored choice) We make every effort to give you your top four
choices, but as classes fill up, we use the rest of your selection.
Schedule, Course Descriptions
and
Instructor Bios
are available on the website. Please read them carefully before
choosing a course. In order to get your top choices, please check the
schedule to make sure that they don’t all take place during the same
session! $ indicates that the course includes an additional fee. All
course selection is subject to availability and some classes may be
changed or added.
Please make sure to check your level when applicable.
|
Archery
____ Archery Basics
____ Advanced Archery, 3D targets
Challenges
____ Orienteering/Scavenger Hunt
____
Geocaching
Fishing Skills
(please check level)
____ Lets Go Fishing !
____ Fly Fishing __Adv./Int. __Beg.
Forest and Land Management
____ Forest Management /Tree I.D.
____ Game of Logging ($10)
Game Cooking
____ Gourmet Game Cooking
____ Open Fire Camp Cooking
Nature and Survival Skills
____ Animal Tracking and Behavior
____ Bird is a verb
____ ‘Getting Unstuck
|
|
|
____ Intro to Bow making
____ Needle Felting Nature ($10)
____ Nature Photography
____ Wild Plant Walk
____ Wild Edibles
____ Wilderness Survival and Safety 1
____ Wilderness Survival and Safety
2
Shooting Classes
(please check level)
____ Handgun Skills __Adv. __ Beg
____ Muzzleloader __Adv. __ Beg.
____ Rifle Skills __Adv. __ Beginner
____ Shotgun Skills __Adv. __ Beg
Sports & Recreational Skills
(please check level)
____ ATV Rider Course
____ ATV Trail Ride
____ Bicycle Repair and Maintenance
____ Canoe Trip on the Missisquoi
____ Hike up Jay
____ Lake Kayak __ Beg
____ River Kayak __Adv /Int.
____ Self Defense ___I ___II
|
Notes:
|
Application for VOW & Student Scholarships |
|
Please Check One:
Vermont Outdoors Woman Partial Scholarship Program ___ Vermont
Outdoors Woman Student Scholarship Program __
These questions are to help us select eligible scholarship recipients.
Students, please include proof of student status. Thanks! |
|
Why
do you want to go to Doe Camp? Please attach additional sheet of paper
if necessary:
|
|
Why do you feel that you should be awarded the scholarship?
|
|