Big Island Spring Gathering Registration Form

REGISTRATION FORM
Big Island Spring Gathering - April 5-13, 2003

Please print, fill out, and mail to the address at the bottom. Make copies as needed.

WAIVER & REGISTRATION FORM
PLEASE FILL OUT A SEPARATE COPY OF THIS FORM FOR EACH ADULT ATTENDING.

I understand that NFNC Spring Gathering will offer a large variety of activities that can be physically, mentally, or emotionally engaging. The level of my participation in any of the activities is at all times completely my choice. I may stop or say "no" at any time. In the event of an emergency I give the NFNC Spring Gathering Staff permission to call an ambulance or physician. I release NFNC Spring Gathering Staff, NFNC, and anyone affiliated with the IsleOfYou Farm community from all liability for any injury to me from my participation. This release also applies to the minors listed below for whom I am responsible.

Camp Fees This year NFNC is offering a sliding scale. The low end of the scale represents our basic cost (without overhead or labor) while the top end represents the price you would expect to pay for a typical event of this nature. Any money received above and beyond our basic cost will go towards a scholarship fund for lower income individuals and the improvement of this and future Events. We trust that you will pay as high on the scale as you are capable.

Complete Package

Amt: $_______

Sat 5^th-Sat 13^th - Sliding scale: $300-$700.

Please indicate your special dietary restrictions:
No Wheat No Dairy No Egg	No Sugar No Honey Raw

Please Mail Check (payable to "Deborah Allen for NFNC" with this Registration Form to:

SF'03
POB 1990
Keaau, HI 96749

If registering after March 30, please contact us at 503-309-6590 or 808-982-5264.

Participant's Signature (if at least 18 years old):

___________________________________ __________
Name: Date
________________________________________________
Address:
________________________________________________
City, St, Zip:
________________________________________________

Home Tel. (_____) _______________ DoB: ____________

Email: ___________________________________________
Emergency Contact and phone:
____________________________ (_____) ____________

How did you hear about this event?
________________________________________________

We create a private contact info sheet that will be sent to each camper. Please check only those items that you DO NOT want to appear on the contact sheet, otherwise your information will be included.

DO NOT include: Picture Name Address Email Phone

For me:

There are limited scholarship funds and work exchange opportunities available for those truly in need. Contact us for details.
A confirmation packet, including contact information, emergency phone numbers, receipt, map with directions, and any last minute news will be mailed or emailed to all registrants on or before April 1st. Confirmation packet is not necessary for admission.