Summer 2025 Open Space Camp (Larimer)

Summer Camp 2025: Larimer
Child Information
Child's Name*

First NameLast Name
Age*
Gender*

MaleFemaleOther
T-Shirt Size*
Does your child have any allergies, chronic illness, or medical conditions? If yes, please describe.*
Is your child prescribed an inhaler? If yes, please explain any instructions.
Is there a particular learning style that best fits your child?
What topics is your student most interested in?

FishMammalsPlants, Trees, FlowersBirdsGeologyDinosaurs, FossilsReptiles and AmphibiansInsectsOcean LifeHikingEcological InteractionsOther
Please describe your child's experience with wilderness experience and hiking skills, if any.
Please know that each class session will involve hiking. Our hikes are selected with children in mind and are typically between 1-2 miles.
What do you hope for your child to gain or experience by attending?
Is there any other information that you would like to share with us about your child?
Ex: Any medical, learning, behavioral, or emotional challenges that may affect how we cater our teaching style to your child? How does your child interact with other children, adults?
Parent Information
Parent/ Guardian Name*

First NameLast Name
Relationship*
Phone Number

Area CodePhone Number
E-mail*
example@example.com
Address*

Street Address

Street Address Line 2

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Postal / Zip CodeCountry
Emergency Contact Information

This is a good opportunity to provide a secondary contact in the event that you are unavailable, if you wish.
Emergency Contact Name*

First NameLast Name
Relationship*
Phone Number*

Area CodePhone Number
How did you hear about Rugged Research?*

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Select your program!

We are offering 5 sessions this year.

Each session will run on a M, W, F schedule for a total of 5 non-consecutive days.
Program Selection*
Payment
Sibling Discount: If you are enrolling siblings in the same course, please enter the siblings name below and enter Sib5 in the Promo Code area below for a 5% sibling discount.
Sibling's Name

Payment*

Close Encounters with Nature Camp $325.00

This is a 5 day summer camp course.

Enter coupon

Subtotal $0.00Tax $0.00Total $0.00

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Please note that in the event Rugged Research issues you a refund for your payment, the Third Party Processing fee is not refundable.
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BY AGREEING AND ENTERING MY NAME BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
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Summer Camp 2025: Larimer