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Follow up on previous messageAsked by rwellison on June 11, 2013 at 12:19 PM
This is the autor responder message participants receive. Although these fields are not in the form they show up in the auto responder. If I can get access to the HTML I can change it.
Camper's Full Name Re Ellison
Address Street Address: 13416 Coachlamp Lane
City: Silver Spring
State / Province: MD
Postal / Zip Code: 20906
Country: United States
Birth Date July 2 1970
Current Age: 42
Phone Number (301) 2677936
E-mail Address where you'd like to receive confirmation and information: firstname.lastname@example.org
Grade Entering Fall 2011
What church do you attend:
1st Emergency Contact Name Lydia Ellison
1st Emergency Contact Relationship: Mom
1st Emergency Contact Daytime Phone Number: (301) 8710166
1st Emergency Contact Evening Phone Number if different: ()
2nd Emergency Contact Name:
2nd Emergency Contact Relationship:
2nd Emergency Contact Day Phone Number:
2nd Emergency Contact Evening Phone Number if different:
Please list other important emergency contacts, their relationship to camper, best phone numbers or other contact information that will be helpful in an emergency.
Doctors Name or Medical Clinic: Vemury
Doctor's Phone Number: ()
List any medical or food allergies: (If none, enter none)
List any chronic illness and or physical limitations camp should know about: (If none, enter none)
Date of last tetanus shot:
List all current medications: (If none, enter none)
Is camper covered by medical insurance: No
Name of Insurance Company (enter none if no insurance): None
Policy Number (enter none if no insurance): None
Electronic Signature: By entering my name below, I accept the above conditions and releases. (You must be 18 years old or over to sign below.) Rebecca Weslie Ellison
Relationship to registered camper: participant [It should read Relationship to participant]
Click Only One Camp Session. Camp rates increase $10, 10 days before each camp starts. Optional Items are also listed. You may also pay for bus transport, add funds to camp store, pre purchase products or make a donation.
Did you managed to figure this out already? You can change that on your autoresponder email.
Setup & Embed > Email Alerts > Autoresponder