SUMMER CAMP 2019

SUMMER CAMP 2019

2019 Reptile Camp Sign Up
Please fill out form COMPLETELY

Uncompleted forms will be disregarded or require extra processing and you may loose your limited place at camp as a result.

Main Registration Information
Child's Name

First NameLast Name
Date of Birth

MonthDayYear
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Age While At Camp
Choose Session

July 22-26 9:00am - 4:30pm($200)July 25&26 Half Days 9am-12pm($50) (Ages 4-5)August 12-16 9:00am - 4:30pm($200)August 15&16-Half Days 9am-12pm($50)(Ages 4-5)Colonsay : TBD
Personalized Camp Shirt ?
If yes, what size?
How Did You Hear of Reptile Camp?
How Do You Wish To Pay?

Parent and Guardian Information
Parent and Guardian Information

ADULTS NOT LISTED WILL NOT BE PERMITTED TO PICK UP CHILDREN. IF AN ALTERNATIVE WILL BE PICKING THEM UP WE MUST BE ADVISED IN ADVANCE
Parent Name

First NameLast Name
Parent's Phone

Area CodePhone Number
Parent's Email
Secondary Parent's Name

First NameLast Name
Secondary Parent's Phone

Area CodePhone Number
Secondary Parent's E-mail

Before and After Child Care
Before and After Care

Before and After Care is available starting at 8am to 6pm for $10 per morning or afternoon, or $15 for both. Care can be paid cash daily or a total at the start of camp. If paid in full payment is not refundable if not used. Do not include payment for care in registration payment.
Child Care Outside Camp Hours?
Notes

Camp Photos
Camp Photos

During the camp there will be photos will be taken of activities and events taking place and available for parents. Some of these photos may be used for promotional material for 2019 day camps, including but not limited to brochures, website use, web marketing, and posters. Photos may include group and individual photos. They will not be used in any other manner or sold for third party marketing.Participation is not mandatory and will not result in exclusion from activities, but is appreciated.
I give consent to have images of my child used.I request that images of my child are not used.

Please fill out form COMPLETELY