406.586.4050
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Registration

2017 RMHBDA Family Camp

June 16–18, 2017

Camp on the Boulder, McLeod, MT 59052
www.campontheboulder.org

June
16

Each summer, RMHBDA invites affected families living in Montana and Wyoming to attend a weekend retreat. The weekend is packed full of education, bonding, and fun!

For the parents and teens, we will have teambuilding programming led by our guest, hemophilia leadership expert, Pat Torrey and some time to relax with other families. This is a great opportunity to learn from and share experiences with one another.

We also have many great activities planned for our campers including arts and crafts projects, field games, and educational sessions for children with bleeding disorders and their siblings. Infusion classes will be offered from our HTC.

Call Brad with any questions at 406.586.4050

Registration deadline is June 29, 2016! Complete & submit the form below

  1. Mail a refundable deposit of $50 by check payable to Rocky Mountain Hemophilia to
    RMHBDA, 1627 West Main Street, #142, Bozeman, Montana 59715

    (Your check will not be cashed and will be returned to you upon your arrival at camp.
    If you cancel, your check will be cashed to help cover cancellation charges.)

    Your registration is not complete until your check is received by RMHBDA.

REMINDER: Please keep an eye on the weather prior to your departure! Visit  http://www.wyoroad.info for more information.

Those items marked * are required.

Attending Adults

Please use full name for all adult names.

Primary Contact*
   Address*
   City*
   State*
   Zip*
   Phone* (Enter numbers only; Include area code)
   email*
Adult 2
Adult 3
Adult 4

Attending Children

If the last name is the same as the Primary Contact name, use only their first name, otherwise please use their full name.

Child 1   Age:   Birthday (DD/MM/YY):
Child 2   Age:   Birthday (DD/MM/YY):   
Child 3   Age:   Birthday (DD/MM/YY):   
Child 4   Age:   Birthday (DD/MM/YY):  
Child 5   Age:   Birthday (DD/MM/YY):   
Child 6   Age:   Birthday (DD/MM/YY):  
yy
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