Green Heron Nature Camp 2017 - Week 6 - July 31 - Aug. 4
Camp Signup Form
Your First Name
Your answer
Your Last Name
Your answer
How did you hear about the Green Heron Nature Camp?
Your answer
What is your address?
Your answer
What is your phone number?
Your answer
What is your email address?
Your answer
How many children would you like to enroll in summer camp?
Your answer
What is your child's first and last name
Please list names if enrolling more than one child
Your answer
Has your child participated in the Green Heron Nature Camp before?
Your answer
How old is your child?
(At time of camp)
Your answer
What is your emergency contact number?
Your answer
What is the name of your child's health care provider/doctor and the number they can be reached at?
Your answer
What is your child's medical ID #?
Your answer
Does your child have any allergies?
If yes, please list.
Your answer
Does your child have any medical conditions that camp staff should be aware of?
Your answer
Does your child know how to swim?
If yes, at what level?
Your answer
We plan to take at least one field trip per week of camp. Are you interested in helping to transport campers to or from field trips?
Your answer
We look forward to spending an amazing time with your child on the Petaluma River. Is there anything you can tell us about your child that will help improve their experience?
Your answer
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