Gardner Camp Youth Astronomy Club Application

Gardner Camp Youth Astronomy Club Application
We invite you to join us in discovering the night sky! Youth in grades 6-12 will deepen their interest in the stars, the planets, and the fascinating world of space. Gain access to telescopes, software, and technology that will allow you to see the night sky like you never have before. Learn how to get started in astronomy with Gardner Camp!

Gardner Camp Youth Astronomy Club is the only youth-focused astronomy club in the region. The mission of the Club is to gather like-minded youth and guide them in advancing their learning about the night sky.

CLUB BENEFITS:
- Access to high-level telescopes & eyepieces
- Invitations to all Star Parties
- Hands-on educational experiences
- Sky & Telescope magazine subscription
- Greater exposure to college educational resources
- Gardner Camp Astronomy Club apparel & observing equipment
Open to boys & girls grades 6-12. The Club will hold monthly meetings October through May. Held at Gardner Camp, Hull, IL. Questions? Contact info@gardnercamp.org or call 217/242-3534.
Youth Participant Information
First Name*
Last Name*
Gender*

MaleFemale
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
County*
Date of Birth*

MonthDayYear
Current Grade *
T-Shirt Size*
Parent or Legal Guardian Information
Parent/Legal Guardian*
Relation*
Work Phone*

Area CodePhone Number
Cell Phone*

Area CodePhone Number
Parent's Email (All event communication will be sent by email.)*
Other Information
Have you previously been a member of the Gardner Camp Youth Astronomy Club?

YesNo
Have you attended other events at Gardner Camp?

YesNo
Do you need any special accommodations to attend this program?

YesNo
If Yes, please describe:
NOTE: Gardner Camp is a Tobacco-Free Campus; No use of tobacco products including cigarettes and “spit tobacco” or e-cigarettes permitted within the facilities or anywhere on the property of Gardner Camp at any time.

Prior to the first meeting, you will be required to submit Waiver and Release of Liability form.
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Gardner Camp Youth Astronomy Club Application

Youth Participant Information

Parent or Legal Guardian Information

Other Information