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Registration Form

Wilderness Medicine School at Bayshore Christian School

(You must be a student at Bayshore Christian School to attend this program).


Dates: Thursdays, March 28 - May 2

Time: 4:15 - 5:15 PM

Grades: K5 - 5th

Cost: $185.00

"*" indicates required fields

Student Information

Student Name*
MM slash DD slash YYYY
Does your child attend Bayshore Christian School?*
Additional Participant/Sibling Information
Full Name
Date of Birth
Emergency Contact(s)*
Full Name
Relationship to Child
Phone Number

Additional Information

Your Name*
The following individuals are authorized to pick up my child:*


Price: $185.00
Credit Card*
American Express
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Expiration Date

Thank you!

We will be in touch soon with important information about this program. Please be aware, we require a minimum of 6 participants to hold this program. You will receive a full refund in the event we need to cancel. If you have any questions, please contact Kristina at (813) 863-1896 or