Summer Bug Camp Registration 2025

Child's Information
Name*

First NameLast Name
Age*
Gender*

BoyGirl
Has your child attended our Bug Camp before?*

YesNo
Shirt Size *
Camp Preference
Thank you for your interest in Bug Camp!

Unfortunately, some of our camps are now FULL.

You can add yourself to the waitlist here.
Please select which Bug Camp your child will attend:

June 24-28 (Museum of Northern AZ)July 8-12 (Willow Bend)July 15-19 (Willow Bend)
Select which Bug Camp your child will attend:

** If you have multiple children attending, you will need to fill out a separate form for each child**
June 24-28*
July 8-12*
July 15-19*
If the Bug Camp time slot you would like to register for is already at capacity and you would like to be added to the waitlist, please email Neil Cobb: neilscobb@gmail.com
Primary Parent/Guardian Information
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Phone Number*

Area CodePhone Number
Secondary Phone Number

Area CodePhone Number
E-mail*
example@example.com
Emergency Contact
Name*

First NameLast Name
Relationship to Child*
Primary Phone Number*

Area CodePhone Number
Secondary Phone Number

Area CodePhone Number
E-mail*
example@example.com
The Camp may use photos in which my child appears for purposes of camp promotion:*

YesNo

Bug Camp Policies
Refund & Credit Policies

If you wish to cancel your camp registration, you can contact Neil Cobb at 928-607-4075 or neilscobb@gmail.com The following policies and timelines apply. If you notify us one week or more before the camp your child is currently enrolled in, you can apply for full refund minus a $25 admin fee. If you notify us one week or less a refund is not guaranteed. If we fill your child’s spot a full refund will be granted minus a $25 admin fee. Once a program begins, we can not make any adjustments or offer any credits.
CAMP CONCERNS

At Bug Camp we strive to teach the campers about all aspects of entomology; from collecting insects, pinning insects, taking care of live bugs, learning and doing experiments.Two key issues have emerged that we would like to address below. Pet Cockroach: While we have never had a problem with campers wanting to keep their camp pet cockroach, parents of the campers are usually hesitant. We provide the campers with either Madagascar Hissing Cockroaches or Orange Head Cockroaches to take home with them at the end of camp if the parent allows. Both are non-native to the United States and if escaped would not survive on their own. They are fruit feeders and do not carry any diseases. These insects are very safe, fun and low maintenance pets to have and the campers just adore them. If at any time you no longer want your pet you can bring them back to the lab, and we will gladly take them back. Collecting,Pinning & Killing Insects: Collecting insects is a large part of what an entomologist does. Unlike mammals and birds it would be impossible to tag and recapture insects to properly study them. During camp we share these collecting techniques with your children. As part of this process proper methods of humane killing of insects is taught early on in the program by freezing them. Because insects are ectothermic, freezing them allows them to feel no pain. For the entomologist, killing an insect is the only way to document biodiversity, and it does not impact the population of an insect species. While local collecting has no impact on overall insect populations, habitat deforestation can. Children will be taught that some insects are habitat sensitive and we do not allow participants to collect those insects. (i.e. Monarch butterflies). Another thing to remember is that adult insects live a very short time as most of their life is spent in the larval stage. By the time children have collected them they have already lived 90- 99% of their life. Collecting and curating insects is a large part of our camp. Please talk to your child and if they are not comfortable with this process please do not register them for this camp. We find if the child is uncomfortable with this process they will not enjoy the camp as much and could create a negative camp experience for others.
DISCIPLINE POLICY

Bug Camp staff uses positive reinforcement techniques providing constructive and logical redirection of children to more acceptable behavior. This eliminates potential problems and encourages appropriate behavior rather than comparison, competition, or criticism. Consistent and clear rules are established. Staff members encourage children to solve problems rather than imposing solutions and help children to recognize and respect one another’s feelings. Counselors encourage pro-social behavior such as cooperation, helping, taking turns and constructive verbal communication to solve problems. Bug Camp reserves the right to dismiss a child for consistent behavior that makes it difficult or impossible for the staff to meet his/her needs and/or the needs of other children in the group. This will occur without a refund (or portion thereof). This will occur only after parent/staff discussion has occurred.
ELECTRONICS & TOYS

Bug Camp strives to provide a program free from video games, audio players, toys and other distractions. Please do not permit your child to bring any of these items to camp as they will be busy throughout the camp day and these items also tend to get lost or misplaced when brought to camp.
I have read/agree with the above policies*

Yes

Payment

Your registration is not complete until we receive payment.

PARENT/GUARDIAN'S AUTHORIZATION The child or children herein described has permission to engage in all camp activities (unless otherwise noted). If any medications are required during the time the child is at camp, it will be administered by Bug Camp staff. Absolutely NO tobacco, liquor, or illegal drugs will be brought, used or possessed during the session(s). If a child is removed by parent or guardian,dismissed from camp for disciplinary reasons, or for actions/behaviors incompatible for participation, no refund will be made or equivalent time given. If asked to leave, I understand the child must depart the program as soon as possible, and I (the parent/guardian) will arrange for such transportation at my sole expense. If the child is asked to leave for disciplinary reasons, I understand that the child may not be allowed to attend a future session. I have read and agreed to the terms in this application.

Clear

My Products*

Bug Camp Fee$400.00

Quantity
Item subtotal:$0.00

Museum of Northern AZ Member$375.00

Quantity

Covered by scholarship$ Free

This option is ONLY FOR CAMPERS COVERED BY A SCHOLARSHIP.

Quantity

DONATION (is in addition to program fee)$10.00

Your donation helps support children attend the camp who cannot afford to pay the full amount! Biodiversity Outreach Network is an Arizona nonprofit corporation with 501(c)(3) status.

Donation amount

Total $0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Email
example@example.com
Should be Empty:

Child's Information

Camp Preference

Select which Bug Camp your child will attend:

Primary Parent/Guardian Information

Emergency Contact

Program Health Form

Bug Camp Policies

Refund & Credit Policies

CAMP CONCERNS

DISCIPLINE POLICY

ELECTRONICS & TOYS

Payment