Camp Registration Form 2022

Orca Camp Registration ~ 2023 Marin Please do not pay by Venmo at this time, only PayPal is working.

To book a place in the camp, you must complete the form below accurately. Ages 6 - 14 (CIT program for 7th graduates or older)
Full refunds are available up to one week before the specific camp week begins. Otherwise a full credit will be issued for a subsequent week, or the following summer.
Camper Name:*

First NameLast Name
Birth Date:*

MonthDayYear
Parent/Guardian's Name:*

First NameLast Name
Session*

June 26 - June 30 -- China CampJuly 10 - July 14 -- China CampJuly 17 - July 21 -- Tomales BayJuly 31 - August 4 -- Tomales BayAugust 7 - August 11 -- China CampAugust 14 - August 18 -- China Camp
Gender:*

GirlBoyOther
Primary Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please provide any medical or dietary restrictions or other info we should have:
What school does your child attend?
How did you hear about Orca Camp?:

Waiver
Orca Adventures cannot be held responsible for any injury that is not the fault of Orca Adventures. If my child needs medical attention, Orca Adventures has my permission to obtain it from any licensed physician; medical clinic or hospital and Orca Adventures may act in my place in this regard. All medical costs related to a student’s injury are the full responsibility of the student’s parents or guardian. There will be a separate form explaining COVID precautions and protocols.
Signature*

Use Trackpad to Sign Clear

Payment Methods

Please click one of the PayPal options to complete payment and submit the form.

Orca Camp Registration ~ 2023 Marin Please do not pay by Venmo at this time, only PayPal is working.