LHR Teen Conservation Camp 2027 Registration

LHR Teen Conservation Camp 2027 Registration

Register for the 4-day, 3-night camp for ages 15-17 , July 18th-21st 2027. Complete all sections, including medical, accessibility, transportation, and registration fee payment.
Camper Information

Please provide the participant's personal and contact details.
Full Name of Camper

First NameLast Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Age (must be 15-17 at time of camp)
T-Shirt Size
Parent/Guardian Name

First NameLast Name
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email Address
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact Name (other than parent/guardian)

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
If you were invited to register for camp by a friend, please list their name here:

First NameLast Name
Medical Information

Please provide relevant medical details for the camper.
Does the camper have any allergies?
If yes, please list all allergies:
Does the camper take any medications?
If yes, please list all medications and instructions:
Does the camper have any medical conditions or considerations we should be aware of?
If yes, please describe medical conditions or considerations:
Accessibility Needs

Let us know if the camper requires any accommodations.
Does the camper have any accessibility needs or require accommodations to fully participate?
If yes, please describe accessibility needs or accommodations:
Transportation

Select how the camper will arrive at and depart from camp. Limited resources are available if travel assistance is needed for a camper getting to and/or from camp. If travel assistance is requested, someone will be in touch ASAP to coordinate available options to meet your needs.
Transportation Method

Other (please specify)
If camper will drive themselves, parent/guardian must grant permission. Do you grant permission for your teen to drive to camp?
Field Trips / Site Visits are part of the camp experience. By clicking yes below, you authorize permission for your child to be transported to visit various sites throughout the Lumber Heritage Region of Pennsylvania.
Registration Fee Payment Method

The camp registration fee is a $25 deposit to hold your child's space at the camp. If desired, you are able to be reimbursed $20 upon full completion of camp. If you can no longer participate, please contact us before June 1st, 2027 to receive a refund. No refunds after June 1st, 2027 except for urgent cases reviewed individually. If you wish to support the LHR Teen Conservation Camp, you can DONATE to the camp instead of receiving reimbursement.
Select your preferred payment method and reimbursement options:
Parent/Guardian Consent and Acknowledgment

Please review and acknowledge the following statements.
I consent permission for my child to use the GooseChase App which will be used to enhance participant experiences. I understand that this may include sharing photos and consent to them being used by the participating organizations for content relating to this camp and promotion of future camps.
I consent to photos/videos being taken of my child related to camp activities to be used by the participating organizations to create content relating to this camp and promotion of future camps.
In the event of an illness or injury requiring emergency medical care, I authorize the Lumber Heritage Region, their staff, volunteers, and designated representatives to obtain emergency medical treatment for my child as deemed necessary by emergency medical personnel or a licensed healthcare provider. I understand that every reasonable effort will be made to contact me or my designated emergency contact as soon as possible.
I acknowledge that I have read and agree to the camp policies regarding transportation, medical information, accessibility, and the reimbursable registration fee. I understand that the registration fee will only be reimbursed upon full completion of camp and that no refunds for cancellations will be issued for cancellations after June 1st, 2027 except for urgent cases reviewed on a case-by-case basis.
Signature
Should be Empty:

LHR Teen Conservation Camp 2027 Registration

Camper Information

Medical Information

Accessibility Needs

Transportation

Registration Fee Payment Method

Parent/Guardian Consent and Acknowledgment