Please print and complete forms below. Please bring with you on the day of the event. 


WYA RELEASE FORM 


WYA TEEN HEALTH STATEMENT 



WHO? 
High School Teens
Grades 9-12


WHAT?

Team Building & Leadership Day 

​​~Team Building Activities 
~Ropes Course
~Zip Line
~Delicious Lunch
~Campfire & S'mores


WHERE?

Kiwi Country Day Camp 

Mahopac 


​WHEN?
Sunday, October 22
10:00 AM - 2:00 PM 



REGISTRATION FOR THIS EVENT IS CLOSED.  


IF YOU ARE INTERESTED IN BEING ON THE CANCELATION LIST, PLEASE EMAIL ALLI WEST.

REGISTRATION
Team Building & Leadership ​Day
Sunday, October 22nd






STEP 2: PLEASE PAY THE PROGRAM FEE BELOW BY CLICKING ON "BUY NOW"

THE FEE FOR THIS PROGRAM IS $50.00

              

*FEE COVERS 

Lunch, Snacks, Activities, Programming and certified ropes course and zip line staff


**Financial Aid Available


TO COMPLETE REGISTRATION:

PLEASE ​PAY PROGRAM FEE BELOW

STEP 1: PLEASE FILL OUT REGISTRATION FORM BELOW & CLICK SUBMIT at the bottom of the page!


Then see "STEP # 2 TO THE RIGHT" 



*