We are so glad to have you participate in this year's McCarthy Family Music Camp - July 16-19, 2015. You can find information about your course on this page. Please fill out the Participant Information form at your earliest convenience. If you would prefer to receive a paper copy of this information we are happy to provide that. Please contact us with any questions, concerns, or requests; Kristin Link can be reached at 907-554-4464 or kristin@wrangells.org.

Course Information: Let us know if we can help you plan your trip to McCarthy and the Wrangell Mountains Center.

Participant Information - Please fill out the following form at your earliest convenience. You can fill out one form for your whole family, just specify the responses to each person.

Name *
Name
Personal Health Questionnaire
If yes: a. To what and how severe? b. Describe any reactions you have previously experienced. c. Briefly describe how you handle these reactions. d. Do you carry epinephrine, Benadryl, and/or Prednisone for your allergy?
Emergency Contact Person
Contact Name *
Contact Name
Phone
Phone
Address
Address
Medical Plan
Insurance Phone
Insurance Phone
Address
Address
Physician's Phone
Physician's Phone