2019 Summer Science Camp Registration
Please fill out the following information for each camper that you are registering for Sonoma Ecology Center's Summer Science Camps this year. You only need to submit this form once for each camper, even if they will be attending multiple camps with us.
In addition to this online form, you must also submit payment through the Brown Paper Tickets event for your camp - this link can be found on our Summer Science Camp website.
Thank you!
If you have questions, please contact Tony Passantino at Tony@sonomaecologycenter.org or 707-996-0712 x124
Email address *
Name of Camper *
Your answer
Camper's Birth Date *
Your answer
Age During Camp *
Your answer
Sex
Which Summer Science Camp(s) are you registering for?
Which Summer Science Camps were attended in the past? *
Required
Parent/Guardian Name 1: *
Your answer
Parent/Guardian Phone Contact 1: *
Your answer
Parent/Guardian Name 2:
Your answer
Parent/Guardian Phone Contact 2:
Your answer
Camper's Physical Address *
Your answer
Camper's Mailing Address (if different than above)
Your answer
Secondary Contact Name (in case we cannot reach Parents/Guardians) *
Your answer
Secondary Contact Phone Number (in case we cannot reach Parents/Guardians) *
Your answer
Allergies *
Required
Please describe any of the allergies listed above: *
Your answer
Additional Camper Needs
Please describe any of the needs listed above:
Your answer
In order to complete registration, we require a Parental Permission Form, Medical Release Form, and Medication Authorization Form (if camper will take medications during camp). These forms must be signed and submitted at least 2 weeks prior to the start of your camp. These forms will be emailed to you, and can also be found on our website. Please acknowledge that you understand this requirement: *
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