Green Heron Nature Camp 2019 - Week 7 - July 15 - July 17 GOLDEN EAGLES (13-16 year olds)
Camp Signup Form
Your First and 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 emergency contact number, if different from your phone # above? *
Your answer
What is your email address?
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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)
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As part of the Golden Eagle Camp Mentor Program, participants attend 1 or 2 weeks of the regular Green Heron Nature Camp. Which week(s) does your child want to attend? DO NOT SIGN UP FOR THIS WEEK ONLINE *
Required
What is the name of your child's doctor and their phone number? *
Your answer
What is your child's insurance provider and member number? *
Your answer
Does your child have any allergies or medical conditions that 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?
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