Adventure Camps Registration Form

Camper's Full Name*

First NameLast Name

Date of Birth*

Date

No known allergiesYes, list allergies below

If yes, please list all allergies

Are there any activities your child should be restricted from? Please specify.

Does your child have any physical, cognitive, or other condition requiring special attention or medication while at summer camp? If yes, please explain.

Is there anything else we should know about your child?

Parent/Legal Guardian Full Name*

First NameLast Name

Relation to Camper*

Email Address*

example@example.com

Cell/Home Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Work Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Address*

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Additional Parent/Guardian Full Name

First NameLast Name

Relation to Camper

Email Address

example@example.com

Cell/Home Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Work Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Pick-up/Drop-off Authorization (List all individuals authorized to pick up your camper, including parents/guardians and emergency contacts.)*

Yes, I agreeNo, I do not agree

I agree

Emergency Contact Name*

First NameLast Name

Relation to Camper*

Emergency Contact Number*

Please enter a valid phone number.Format: (000) 000-0000.

Emergency Contact Number #2 (optional)

Please enter a valid phone number.Format: (000) 000-0000.

Camp and After Care Selection*

Week 1: Wings and Talons

June 22nd, 2026 through June 26th, 2026 (Ages 6-9)

$325.00

Week 2: Wilderness 101

June 29th, 2026 through July 3rd, 2026 (Ages 8 to 12)

$325.00

Week 3: Wild About Bears

July 6th, 2026 through July 10th, 2026 (Ages 6 to 9)

$325.00

Week 4: Wildlife Detective

July 13th, 2026 through July 17th, 2026 (Ages 6 to 9)

$325.00

Week 5: Junior Wildlife Biologist

July 20th, 2026 through July 24th, 2026 (Ages 8 to 12)

$325.00

Week 6: Nocturnal Nature Lab

July 27th, 2026 through July 31st, 2026 (Ages 6 to 9)

$325.00

Week 7: Bugs and Beyond

August 3rd, 2026 through August 7th, 2026 (Ages 6 to 9)

$325.00

Week 8: Avian Adventure

August 10th, 2026 through August 14th, 2026 (Ages 8 to 12)

$325.00

Week 9: Web of Life

August 17th, 2026 through August 21st, 2026 (Ages 6 to 9)

$325.00

After Care (3:00 PM - 5:30 PM)

Runs 3:00 PM – 5:30 PM and must be booked at least one week in advance. Late pickups or last-minute aftercare requests (less than one week’s notice) will incur a $10 per hour per child penalty. Select how many days of aftercare your child will attend.

$25.00 Quantity

Enter coupon

Total

$0.00

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

Adventure Camps Registration Form

Camp Selection

Parent/Legal Guardian Information

Additional Parent/Legal Guardian (optional)

Additional Emergency Contact (must be different from parent/guardian)

Payment Portal

Camp Guidelines Consent