Camp Registration August 13th - 17th 

Camp (Grades 4-6) is a weeklong program for children entering grades 4-6 in the fall of 2018. This camp is $300.00 per week payable upon registration. Refunds will be given up to three weeks prior to camp start date. 

If more than one child will be attending camp, please register and pay for each separately.


Camper's Name *
Camper's Name
Birth Date *
Birth Date
This is the grade your child will be entering this fall.
Parent's Name *
Parent's Name
Address *
Address
Phone Number *
Phone Number
Confirm Phone Number
Confirm Phone Number
Alternative Phone Number (If Applicable)
Alternative Phone Number (If Applicable)
Confirm Alternative Phone Number
Confirm Alternative Phone Number

ONLY if different from parent listed above, please enter name and email of person who should receive camp information from the Camp Director the week before camp begins. This would normally be the person dropping off the child each day.

Name of Person to Receive Camp Information
Name of Person to Receive Camp Information

Camp After Hours (4:00 - 6:00 pm Daily) *

EMERGENCY AND MEDICAL INFORMATION

In case of emergency, we will try to reach you on the first or alternate phone number you provided above. Please list up to two additional people with their phone numbers to contact in case you cannot be reached in an emergency situation.

Otherwise, enter "None". Medications must be brought in original containers.
If yes, please list or explain. If no, please enter "None".
FIRST AID PERMISSION: I hereby give The Creature Conservancy permission to perform basic first aid on my child should the need arise. In the event that I may not be reached, I hereby authorize The Creature Conservancy to secure treatment for my child with the appropriate medical personnel or facility. *
In case of any serious accident or illness, every effort will be made to contact a parent or guardian. Signature and date due the first day of camp.
(ex: U of M; St. Joe's; nearest facility; no preference)
Are camper's immunizations up to date?

Photo Permission *
The Creature Conservancy staff will be taking photographs of camp activities that may be used in promotional materials. I hereby grant permission for my child's image to be included in camp photographs.
Camper's T-Shirt Size *
The camp fee includes a camp t-shirt, which campers should wear everyday of camp.
Please let us know whether you learned about our Camps through local media, through friends, from your child's school, or elsewhere. Let us know if your child is a returning camper. Thank you!