Clone of GCVC Exploration Camp

Galena Creek Summer Exploration Camp 2026
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Camper Name

First NameLast Name
Your Child's Date of Birth

MonthDayYear
Camper's Age
What school does your Camper attend?
Camper's Gender

Other
Is there anything we should know about your camper in order to provide the best camp experience for them?
Please upload a recent photo of your child with their face clearly visible so our staff can easily identify campers and help ensure their safety during, activities, and pick-up.

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How did you hear about this camp?

Other
Guardian Information
Guardian Full Name

First NameLast Name
Guardian Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Email
Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
List all individuals who are authorized to pick up your camper. Government ID'S must match below names and will be checked before pickup.
Name

First NameLast Name
Relation to Camper
Name

First NameLast Name
Relation to Camper
Name

First NameLast Name
Relation to Camper
Emergency Contact
Emergency Contact Name

First NameLast Name
Emergency Contact Email
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Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Camper Health Forms
Does your child have any pre-existing medical conditions?(If yes, please specify.)
Is your child currently taking any medications?(If yes, please list the medications and their purposes.)
List all medications including EpiPens/Inhaler that your Camper will need to bring to camp.
Does your child have any known allergies (food, environmental, insect stings, etc.)?(If yes, please provide details, including severity and necessary treatment.) Please note we are not a peanut free facility.
Important Food Allergy Info
At Galena Creek Exploration Camp, the safety and well-being of all our campers are our top priorities. Please be aware that our camp is not a peanut- or nut-free facility. While we make reasonable efforts to promote safe practices, campers may bring foods or products that contain peanuts or other nuts, and we cannot guarantee an allergen-free environment.

Families of campers with food allergies should carefully consider this information and take appropriate precautions. We appreciate your cooperation and understanding as we work to create a safe and inclusive experience for all campers.
Documentation Required for Allergies

Disclosure of all known food and environmental allergies is required so camp staff can make reasonable accommodations when planning activities and serving snacks and meals.
Please upload only 1 of the following documentation related to your child's allergies.
- A current allergy action plan from a licensed healthcare provider
- A detailed letter from your child's physician outlining their allergies and recommended precautions
- Any additional medical documents that specify your child's allergies and required treatments
File Upload

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Does your child have any physical limitations or disabilities? (If yes, please specify.)
Has your child had any recent illnesses, surgeries, or hospitalizations?(If yes, please provide details.)
Does your child have any mental health considerations we should be aware of? (If yes, please specify.)
Galena Camp Staff have permission to take videos and pictures of your camper participating in camp for social media and website purposes. Follow us on Facebook and Instagram to see what your camper was up to that day!
7 Outdoor Ethics
Camp Rules and Expectations
By acknowledging below, I am delivering an electronic signature that will have the same effect as an original manual paper signature agreeing to all the above terms listed on this form. The electronic signature will be equally as binding as an original manual paper signature.
Today's Date

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Date
Click the images below and choose your Camp Week(s)! Field trips subject to change. Any change will be communicated to guardians.
Please use this link or Scan the QR Code to complete your camp payment and return to submit this form.
Please note a completed registration form is required at the time of payment, and a camper's spot will only be held once payment has been received.
Check All the Below before Submitting your Camper's Registration
Thank you for choosing Galena Exploration Camps!

We will see you and your camper soon!
By submitting this form you will be automatically signed up for our Camp Newsletter with important information about your upcoming Camp. You can expect this email a week prior to your chosen camp. For any questions email visitorcenter@thegreatbasininstitute.org.
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Galena Creek Summer Exploration Camp 2026

Guardian Information

List all individuals who are authorized to pick up your camper. Government ID'S must match below names and will be checked before pickup.

Emergency Contact

Camper Health Forms

Important Food Allergy Info

Documentation Required for Allergies

Please note a completed registration form is required at the time of payment, and a camper's spot will only be held once payment has been received.

Thank you for choosing Galena Exploration Camps!