Register for Nature Day Camp

Nature Day Camp is $40.00 per camper and runs Visit us in 2011, 2010

Number of Campers?1
2

First Camper's Information
First Name
Last Name
Date of Birth
Medical Concerns and/or Restrictions

Second Camper's Information
First Name
Last Name
Date of Birth
Medical Concerns and/or Restrictions

Parent's Information
First Name
Last Name

Parent 2 (optional)
First Name
Last Name

Contact Information
Address 1
Address 2
City
State
Zip
Day Phone
Cell
Email

Emergency Contact
First Name
Last Name
Phone

Other
I am available to volunteer.Yes
No

From time to time we use photos taken of campers and activities in publications. If that's ok with you, please indicate:
Are pictures OK?Yes
No