SCAVENGER HUNT REGISTRATION FORM

As an alternative to Camp Amanda this year, we are offering a Scavenger Hunt for families who have experienced the loss of a loved one. This scavenger hunt will include fun grief-coping related prizes and Pandemic Panda swag.

Name of parent[s]/guardian[s] participating

First Name

Last Name

Name of additional parent/guardian participating

Optional

First Name

Last Name

Best phone number for parent/guardian

(###)

###

####

Alternate phone number

(###)

###

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Best email address for parent/guardian

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Name of child participating

First Name

Last Name

Name of additional child participating

Optional

First Name

Last Name

Name of additional child participating

Optional

First Name

Last Name

Would you like to share any additional information?