Clone of 2025 Day Camp Registration Form

Natural Curiosity 2026 Summer Camp Registration Form

Please complete this form to confirm your spot in the program. The information you provide will help us with planning and student safety during the program. This form is required for your children to attend camp.
Participant's Information
Member ID
Participant Name
Preferred Name
Date of Birth

MonthDayYear
Age
Camp Week Registering For?
Please enter the week of camp you were accepted into.
Where will the participant be dropped off for camp? See the Natural Curiosity Summer Day Camp Participant Info Webpage for details about the different options.
Where will the participant be picked up for camp? See the Natural Curiosity Summer Day Camp Participant Info Webpage for details about the different options.
If you chose "other" for either drop-off or pick-up location above, please explain here.
If participant attended last year, what gear are they able to bring back to camp this year?

Parent/Guardians' Information

Parent/Guardian 1
Parent/Guardian 1

First NameLast Name
Relationship to Child
E-mail
example@example.com
Cell Phone
Format: (000) 000-0000.
Home Phone
Format: (000) 000-0000.
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian's Work/School Name
Or enter N/A if not applicable
Parent's Work/School Phone
Format: (000) 000-0000.
Where would you like to be reached while your child is at camp?
Parent/Guardians' Information

Parent/Guardian 2 - Please fill in all info if the student has a 2nd Parent/Guardian
Parent/Guardian 2

First NameLast Name
Relationship to Child
E-mail
example@example.com
Cell Phone
Format: (000) 000-0000.
Home Phone
Format: (000) 000-0000.
Home Address Same as Parent/Guardian 1?
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent's Work/School Name
Or enter N/A if not applicable
Parent's Work/School Phone
Format: (000) 000-0000.
Where would parent/guardian 2 like to be reached while your child is at camp?

Emergency Contacts/Authorized Pickup

Please include all persons who are allowed to pickup your student. We will not allow your student to leave our supervision with anyone other than those listed on this form. Consider this when arranging carpool pickups from camp. You do not need to duplicate parent info here, unless a second parent is the only other emergency contact allowed to pick up the child. List the name of at least one person who can be contacted in the event of an emergency or illness if you cannot be reached. Any person listed should be able to assist in contacting you. At least one person listed must be able to take responsibility for the child in case one parent/guardian cannot be contacted and should be at least 18 years of age.
Emergency Contact / Authorized Pickup Person #1
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Phone Number
Format: (000) 000-0000.
Secondary Phone Number
Format: (000) 000-0000.
Relationship to Child
Emergency Contact / Authorized Pickup Person #2

Please enter all info below if you want to include a 2nd Emergency Contact / Authorized Pickup Person
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Phone Number
Format: (000) 000-0000.
Secondary Phone Number
Format: (000) 000-0000.
Relationship to Child
Emergency Contact / Authorized Pickup Person #3

Please enter all info below if you want to include a 3rd Emergency Contact / Authorized Pickup Person
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Phone Number
Format: (000) 000-0000.
Secondary Phone Number
Format: (000) 000-0000.
Relationship to Child
Emergency Contact / Authorized Pickup Person #4

Please enter all info below if you want to include a 4th Emergency Contact / Authorized Pickup Person
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Phone Number
Format: (000) 000-0000.
Secondary Phone Number
Format: (000) 000-0000.
Relationship to Child

Statements of Understanding

Please read through the below statements and policies carefully and indicate if you agree. The statements listed as required must be agreed to in order for your student to participate in the camp. YOU MUST SCROLL/READ THROUGH ALL THE TEXT IN THE BOXES TO BE ABLE TO SELECT "AGREE".
Photo/Video Release Permission

Natural Curiosity Staff will be taking photos & videos of participants during camp activities to document their experiences and share them with the participants friends/families. With your permission we would like the ability to use those photos/videos in our promotional materials, grant reports, and social media to promote further youth outdoor education programming. Our website, social media accounts and flyers are examples of how we use these photos/videos. We promise to always represent our participants in a respectful way and do not include any personal information with the photos/videos. We will also be happy to stop using any photos/videos if requested in the future. We understand not everyone would like to have photos/videos of themselves or their children shared in this way, so please indicate your preference below.
Program Participant Personal Medical Responsibility Policy

Our main goal is to provide participants with a safe outdoor learning experience. To facilitate this please review and accept the below policies. To summarize, if your child has a pre-existing medical condition that they have been prescribed rescue medication for THEY MUST HAVE IT WITH THEM and disclose it in the above "Medical Info" section. This especially includes RESCUE INHALERS FOR ASTHMA (exercise-induced they haven't experienced in years counts), EPI-PENS, INSULIN, SUGARY DRINKS/SNACKS (if needed for response to diabetes/low blood sugar).
Program Participant Personal Medication Administration Policy

This helps us accommodate participants who need medication during the program.
Natural Curiosity Provided First Aid

Our staff are trained in Wilderness First Aid to respond to minor injuries and medical incidents using standard Wilderness First Aid protocols. All incidents and treatment provided are recorded by camp staff in incident reports and SOAP notes and can be provided to you after the incident upon request. In the event that any injuries or medical incidents rise above "minor injuries and medical incidents", the parent/guardians will be contacted immediately and in the case of a medical emergency camp staff will contact 911. All student medical information is kept private and only shared internally with Natural Curiosity Staff as needed.
Summer Camp Conduct & Behavior Policy

To facilitate a positive and safe experience for your child, other participants, and Natural Curiosity Staff we require you to review and agree to our Camp Conduct and Behavior Policy. Please read through this policy with your child prior to camp. A copy of the policy is provided on the Natural Curiosity Summer Day Camp Participant Info & Registration Webpage.
Informed Consent and Assumption of Risk and Liability Waiver
Natural Curiosity has permission to secure emergency transportation (by calling 911) for my child in the event of an illness or injury which requires emergency treatment. The emergency transportation service will determine the facility to which my child will be transported.
Type first and last name above to consent
Sign Document
Date Signed

MonthDayYear
Natural Curiosity Email
example@example.com
Should be Empty:

Natural Curiosity 2026 Summer Camp Registration Form

Participant's Information

Parent/Guardians' Information

Parent/Guardians' Information

Emergency Contacts/Authorized Pickup

Emergency Contact / Authorized Pickup Person #1

Emergency Contact / Authorized Pickup Person #2

Emergency Contact / Authorized Pickup Person #3

Emergency Contact / Authorized Pickup Person #4

Medical / Health Information

Additional Medication #1

Additional Medication #2

Additional Medication #3

Statements of Understanding

Photo/Video Release Permission

Program Participant Personal Medical Responsibility Policy

Program Participant Personal Medication Administration Policy

Natural Curiosity Provided First Aid

Summer Camp Conduct & Behavior Policy

Informed Consent and Assumption of Risk and Liability Waiver