Winter Critter Camp 2024/2025 Registration

Registration

Please use this form to register your child/children for our 2024/2025 Winter Critter Camp. NOTE, that we are offering two weeks of FUN! Our Winter Critter Camps will be held at Historic Corron Farm, 7N761 Corron Rd., St. Charles. If you have any questions, please contact: CherylSmith@CamptonTownship.com
Parent or Guardian Name*

First NameLast Name
Parent or Guardian Email*
example@example.com
Parent or Guardian Phone*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Are participants residents of Campton Township?*

YesNo
Emergency Contact Name*

First NameLast Name
Emergency Contact Relationship*
Emergency Contact Phone*
Please enter a valid phone number.
Will your child(ren) need to take any medications during camp hours? If yes, we will contact you with a required form and any questions we may have.*

YesNo
Participant Name*

First NameLast Name
Participant Age*
Any medical/allergy needs to be aware of?*
Shirt Size*
Select the week you are registering for*

Week ONE: Winter Critter Camp December 23, 26 & 27 (Resident $185, Non-Resident $195)Week TWO: Winter Critter Camp December 30, January 2 & 3 (Resident $185, Non-Resident $195)

Click here to add additional participants
Participant Name

First NameLast Name
Participant Age
Any medical/allergy needs to be aware of?
Shirt Size
Select the week you are registering for

Week ONE: Winter Critter Camp December 23, 26 & 27 (Resident $185, Non-Resident $195)Week TWO: Winter Critter Camp December 30, January 2 & 3 (Resident $185, Non-Resident $195)
Participant Name

First NameLast Name
Participant Age
Any medical/allergy needs to be aware of?
Shirt Size
Select the week you are registering for

Week ONE: Winter Critter Camp December 23, 26 & 27 (Resident $185, Non-Resident $195)Week TWO: Winter Critter Camp December 30, January 2 & 3 (Resident $185, Non-Resident $195)
Participant Name

First NameLast Name
Participant Age
Any medical/allergy needs to be aware of?
Shirt Size
Select the week you are registering for

Week ONE: Winter Critter Camp December 23, 26 & 27 (Resident $185, Non-Resident $195)Week TWO: Winter Critter Camp December 30, January 2 & 3 (Resident $185, Non-Resident $195)

Individual Release and Hold Harmless Agreement:

I understand that participating in programs with Campton Township involves a certain degree of risk that could result in injury, loss, or damage to person or property. After carefully considering the risk involved, I hereby release, hold harmless and waive all claims associated with this activity which I, or my minor children, may have against Campton Township, its employees, elected officials and volunteers.

Media Release:

I hereby authorize Campton Township to use any photographs and/or videos taken of myself and my minor children for newsletters, publicity, appeals and other publication. This applies to both candid and posed photographs and/or videos. I further authorize the use of information gathered from me during any interoview by employees of Campton Townships. This agreement covers all future potential use of said photographs, videos or information. I hereby give permission for my name and the names of my minor children to be used in conjunction with the photographs and/or any written materials.

Preparing for Camp:
Campers are asked to bring a sack lunch and snacks, water bottle with water for the day. Campers should wear sturdy closed toe shoes/boots as we will be hiking and spending as much time outdoors as we can. Campers should be prepared for the weather and may wish to bring a hat and/or rain jacket/coat and gloves if needed. Dress appropriately for Winter weather.

Cancellation Policy:

2024/2025 Winter Critter Camp full refund cancellation date is December 12th. No refunds will be given after December 12th.
Signature*

Clear
Date*

MonthDayYear
Date

My Products*

Week ONE: Winter Registration - ResidentWinter Critter Camp December 23, 26 & 27

$185.00 Quantity

Week ONE: Winter Registration - Non-ResidentWinter Critter Camp December 23, 26 & 27

$195.00 Quantity

Do YOU want an adult Sweatshirt for YOU or someone else? Product Image

Do YOU want an adult Sweatshirt for YOU or someone else?Winter HOODED Sweatshirts (We will be choosing two colors for Winter Sweatshirts - Not exactly as shown)

$30.00

Size	Quantity	Price
XS - Youth		$30.00
S - Youth		$30.00
M - Youth		$30.00
L - Youth		$30.00
XL - Youth		$30.00
XS - Adult		$30.00
S - Adult		$30.00
M - Adult		$30.00
L - Adult		$30.00
XL - Adult		$30.00
XXL - Adult		$35.00

Week TWO Winter Critter Camp - ResidentWinter Critter Camp December 30, January 2 & 3

$185.00 Quantity

Week TWO Winter Critter Camp - Non-ResidentWinter Critter Camp December 30, January 2 & 3

$195.00 Quantity

Total

$0.00

Credit Card

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