Family Camp Registration Form

Take a Child Outside Camping Interest Form

Thank you for you interest in our intro to camping session. This will run September 26th (5pm) to September 28th (10am) at Jordan Lake. There are opportunities to come for the day and stay overnight. This event if free thanks to grant funding. Question? Email us at info@rootedincolor.com
Sample Schedule
Friday

5:00 PM – Optional Camping & Campfire

Saturday

12:00 PM – Welcome & Outdoor Lunch
2:00 PM – Tent & Shelter Building
3:30 PM – Hike & Nature Exploration
5:00 PM – Camp Games & Free Play
6:30 PM – Campfire & Dinner
7:30 PM – Night Stargazing
9:00 PM – Departure if not camping

Sunday

8:30 AM – Breakfast
9:30 AM – Leave No Trace Pack-Up
10:30 AM – Departure
Family information
Caregiver Name

First NameLast Name
E-mail Address*
example@example.com
Contact Number
Please enter a valid phone number.Format: (000) 000-0000.
How many family members will be attending?*
Child's Name:

First NameLast Name
Child's Date of Birth

MonthDayYear
Date
Child's Name (2):

First NameLast Name
Child's Date of Birth (2)

MonthDayYear
Date
List any additional family members and their ages
YesNo
Daytime activities on SaturdayCampfire Saturday nightCamp overnight SaturdayCamp overnight Friday
TentSleeping padNothing, we will bring our own gearOther
Please describe any allergies or dietary restrictions
Any questions or concern:
Should be Empty:

Take a Child Outside Camping Interest Form