TEJAS WEB WITCHCAMP, November 12 – 19, 2015 — REGISTRATION
To register, print and fill out this registration form and send it by postal mail, with a check or money order payable to Tejas Web, to:
TEJAS WEB, WitchCamp 2015, PO Box 11586, Austin TX 78711.
Or, use PayPal either to pay by credit card, or to send money, to tejasweb1031@gmail.com. Please add $5 to cover fee that PayPal will charge Tejas Web. Please include a note that you are paying for WitchCamp 2015.
NAME ________________________________________________________________
MAGICAL NAME _______________________________________________________
EMAIL ADDRESS ______________________________________________________
PHONE NUMBER(s) ____________________________________________________
MAILING ADDRESS ______________________________________________________________________
If you are 16 or 17 years old, please provide the name and signature of the parent or guardian who is at Camp with you.
NAME __________________________ SIGNATURE ________________________
FEES (US funds only)
REGISTER NOW FOR COST SAVINGS! PLEASE MARK YOUR CHOICE BELOW.
Sign up… Semi-private Dorm room Tenting
By Sept. 23 $650 $550 $450
After Sept. 23 $725 $625 $525
(As space is available)***All indoor beds are taken*** To ask about getting on a waiting list for an indoor bed please email us at texaswitchcamp@gmail.com.***Plenty of beautiful spots for tenting are still available***
A non-refundable registration deposit of $150 holds your space.
MARK WHAT YOU ARE PAYING NOW WITH THIS REGISTRATION (US funds)
Deposit ($150) _______
Payment in full _______ (see fee options above)
Other amount _______
Extra donation _______ (help someone else come to Camp!)
FOOD PREFERENCE (mark one) ___Omnivore ___Vegetarian ___Vegan
SPECIAL FOOD NEEDS (For example: gluten-free, no dairy, etc.)
(We will do our best to accommodate the special needs you tell us about below.)
OTHER SPECIAL NEEDS Mobility, Allergies, etc.
(We will try, but may not be able, to accommodate all needs at this event).
Please provide emergency contact information of someone who is NOT at Camp with you.
Name ___________________________ Phone ________________________
WitchCamp is an intensive week between the worlds. If you have previously experienced major mental health challenges that significantly disrupted your ability to perform daily activities or if you currently take medications prescribed to prevent those mental health disruptions, WitchCamp may not be a stabilizing environment. Any medication prescribed by a physician should be continued before, during, and after WitchCamp. Please consult your physician or mental health professional to determine if WitchCamp will support your continued health. WitchCamp is never a substitute for therapy, medication or medical attention.
FOR QUESTIONS ABOUT REGISTRATION, contact texaswitchcamp@gmail.com . IF YOU NEED FINANCIAL ASSISTANCE TO COME TO WITCHCAMP, ASK US ABOUT SCHOLARSHIP OR WORK EXCHANGE OPTIONS.