Green Heron Nature Camp 2019 - Week 4 - June 24 - June 28
Camp Signup Form
Your First Name & Last Name *
Your answer
How did you hear about the Green Heron Nature Camp?
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
Please give an emergency contact for your child different from the name and number above. *
Your answer
What is the name of your doctor and the number they can be reached at? *
Your answer
What is your child's insurance provider and member #? *
Your answer
Does your child have any allergies or medical conditions the camp staff should be aware of? *
If yes, please list.
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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