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GALACTIC JUNGLE
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CAMP WITH GALACTIC JUNGLE
1. First Name
2. Last Name
3. Email
4. Phone
5. Birthdate
6. Driver's License/Passport
7. Dietary Restrictions
None
Vegetarian
Vegan
Pescatarian
Lactose Intolerant
Gluten Intolerant
8a. Do you have any food allergies?
No
Yes
8b. If yes, please list allergies:
9a. Emergency Contact
9b. Emergency Contact Ph#
10. Do you have a BM2022 Ticket?
Yes
No
11a. Will you be bringing your own bike?
Yes
No
11b. If yes, how are you planning to trasport t?
Airport
Burner Express
PLEASE READ
2022 Membership Agreement
2022 Waiver, Release, & Confidentiality Form
By my signature, I acknowledge that I have read, understand, and agree to the camp policies as defined in the Galactic Jungle Membership Agreement.
View terms
By my signature, I acknowledge that I have read, understand, and agree to the Galactic Jungle Waiver, Release and Confidentiality Form.
View terms
Your Signature
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Submission Date
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