|
Winter Doe Camp at the Hulbert Outdoor Center
March 12-14th, 2010
Registration Form
Please fill out
all the requested information (Deadline - Postmarked by March 8th)
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 be outside on the snow or ice
so please dress comfortably and sensibly. We recommend that you bring warm
waterproof boots and clothes, since classes will be held outside
regardless of weather.
Please read the
class descriptions carefully for details on what clothing/gear and levels
of physical activity and experience are expected. More detailed
information will come with you confirmation packet.
Most 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.
If you intend
to stay over at the Hulbert Outdoor Center, please bring your own linens
for a twin sized bed or you can rent them for $10 per day. Rooms have two
bunk beds and can accommodate four people. Program fee is based on this
set-up and you can choose to upgrade to double occupancy for an extra fee
(limited.)
Confirmation:
Upon receipt of your
payment, we will send you an email confirmation. A letter listing your
class choices and schedule will be sent to you as soon as it is
available. Directions and a map to the Hulbert Outdoor Center will be
included. Please consider carpooling!
Cancellation
Policy: Vermont
Outdoors
Woman will accept
cancellation and will refund the entire amount of the registration fee if
the cancellation is received before March 1st. Request for a refund must
be received in writing; no phone cancellations will be accepted.
Cancellations received after March 1st will be charged a $35 processing
fee and
Cancellations after March 11th 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.
|
PARTICIPANT INFORMATION
(Please print clearly) |
|
First Name: _____________________ Last Name: _______________________
Mailing Address: ________________________________ City:
_________________ State: _______ Zip: _______________
Phone:
________________________ E-mail: ______________________________
Occupation:
___________________ Birth Date: ___________________________
Help us save Paper! Send me
my registration via:
email ____ snail mail____ both!____ |
|
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:
|
|
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 will 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
who?________________ __ Other: ___________________ |
|
If
you are claiming the "Mother- Daughter Special", please write her name
below and indicate your relationship. |
|
Name: |
|
You will be
rooming with three other women, if you have friends or family with
whom you would like to room, please write their names below.
|
|
Names: 1)
2)
3) |
|
Please check
one: Night Owl ____
Early to Bed ____ No Preference ____
This is for determining the location of your accommodations. |
|
PAYMENT
INFORMATION
(please check appropriate lines) |
Program
Fee: includes lodging
for Friday & Saturday nights, all meals from Friday dinner through
Sunday lunch, instruction and giveaways.
_____ $260 Full
Program Fee
_____
+ $40
p/p to upgrade to a double room.
Drive in
(Includes all meals, classes and giveaways) Indicate your drive in
day:
______
$25
Friday
(Dinner and evening workshop)
______
$85
Saturday
(Breakfast,
Lunch, Dinner and two classes)
______
$75 Sunday
(Breakfast,
Lunch, and one class) |
|
WEEKEND
DISCOUNTS |
_____
$40
off for anyone who stays
in a tent.
_____
10%
off Mother/Daughter Doe
Camp Program Fee.
|
|
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 amount 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.
_____ $180.00
VOW
Partial Scholarship Program FEE includes all of the above
_____ $165.00
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.
____
$20
one year's membership ____
$30 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:
We can now charge you through our paypal account! There will be a $5
service fee. |
|
Program Fee: _________
+ VOW Membership: _________
+ Room Upgrade: _________
+ Raffle
_________ |
+ Donation _______
Subtract Total Discounts: _______
Total ______
I’d like to pay
with a credit card! _____ |
|
Want
to help us spread the word about Doe Camp? |
|
Please, send me
____ posters! |
|
Please send
your registration and check payment to:
VOW
P.O. Box 10 N. Ferrisburg, VT 05473 |
You will be
assigned THREE courses.
Note: Please
refer to 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, and 10
being your least favored.) 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, it is very possible that there will be schedule conflicts , so
please check the schedule before you make your choices.
All course selection is subject to availability and some may be changed or
added.
Please make sure to check your level when applicable.
|
SURVIVAL SKILLS
____ 1. Animal Tracking
____ 3. Intro to Traditional Winter
Camping
____ 4.
Primitive Fire Making
____ 5. Winter Campfire Cooking
____ 6. Winter Preparedness
NATURE:
____ 7.
Snowshoe, Birding Hike
____ 8. Winter Photography
____ 9. Winter Edibles
|
|
|
SPORTS & RECREATIONAL SKILLS
____
10. Backcountry Skiing
____ 11. Dog Sledding
____ 12. Ice Fishing
____ 13. Nordic Skating
____ 14. Primitive Biathalon
____ 15. Skijoiring
____ 16. Snowmobile Safety
____ 17. Snowmobile Trail ride
____ 18. X-Country Skiing
|
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?
|
|
