Kids in Nature Summer Camps '19
Please fill out this entire registration page. You can select multiple camps for the same student, but please fill out a new form for each individual student.

Your spot is considered reserved once we have received a completed registration form as well as payment in full, and is contingent upon space available.

Thank you for signing up with us and we look forward to exploring with your child!

**PLEASE NOTE**
We offer TWO DIFFERENT summer camps for each week block, so please make sure that you are selecting only one for each week.
Email address *
Your Name (Parent) *
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Your Phone Number ( Primary Contact ) *
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Your Child's Name *
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Your Child's Age *
Your answer
..........................:.. CHOOSE YOUR CAMPS ..:..........................
We offer TWO theme options for each week. Please select the theme you are interested in for the corresponding week. Complete this form by INPUTTING YOUR CHILD'S FIRST AND LAST NAME in the text box of the camp you'd like to enroll in.
WEEK 1 : July 15th - 19th
If you would like to sign up for this week, please write your child's first and last name under the camp theme for this week you would like. Please only choose one. If you would be happy with either, put their name under your first choice and "WL" for waitlist, under the other.
Birds: Their Habits, Habitats, and Language!
Your answer
Forest Wizards: Shelter Building, Tracking, and Awareness
Your answer
WEEK 2 : July 22nd - 27th
If you would like to sign up for this week, please write your child's first and last name under the camp theme for this week you would like. Please only choose one. If you would be happy with either, put their name under your first choice and "WL" for waitlist, under the other.
Wild Artisans: Pottery, Weaving, Painting, and Jewelry Making in the Forest
Your answer
Exploring Our Wild Coast: From Seabirds to Fossils to Restoration to Waves
Your answer
WEEK 3 : July 29th - August 2nd
If you would like to sign up for this week, please write your child's first and last name under the camp theme for this week you would like. Please only choose one. If you would be happy with either, put their name under your first choice and "WL" for waitlist, under the other.
Forest Wizards: Shelter Building, Tracking, and Awareness
Your answer
Earth Bellies: Gardening, Baking, Fermenting and more, outside!
Your answer
WEEK 4 : August 5th - August 9th
If you would like to sign up for this week, please write your child's first and last name under the camp theme for this week you would like. Please only choose one. If you would be happy with either, put their name under your first choice and "WL" for waitlist, under the other.
Ethnobotany: Medicines, Handicrafts and Watercolors with Native Plants
Your answer
Land of the Gnomes: Spring Holes, Rock Spirals, Mosses and Ferns
Your answer
................:.. Emergency Release Information ..:.................
Emergency Contact Information (Name and Phone Number) *
Your answer
Second Emergency Contact Information (Name and Phone Number)
Your answer
Student History of Allergy, Illness or Injury
Your answer
Other Important Information About My Child
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To ensure your child's enjoyment of the program, and the ability of the teachers to fairly divide their attention among their students, please make sure all of the following are true about your student. *
Required
Safety Release Waiver
By registering your child for this camp, you agree to the following: We are delighted you’ve chosen to enroll your child in our Program. We know they will enjoy and benefit from exploring the lovely habitat we all call home. As a parent of a participant we want you to know and understand the common hazards of outdoor exploration before we begin the journey together. Through participation in Kids in Nature your child could be exposed to poison oak, ticks, sun, roads, and the unexpected in nature. Children will also be climbing trees and walking through forests which could result in tripping and falling due to uneven topography in wild landscapes. During the program, the children also cross roads in a carefully supervised group. Though occurrence is incredibly infrequent the forest is also home to many wild creatures and unexpected exposure to these animals could lead to injury or illness. In the case of an emergency that cannot be treated in the field, it is Program Policy that Emergency Medical Assistance (911) be called which may require an ambulance. Lead Teachers are Wilderness Medicine Certified and equipped with first aid kits and may address any minor injuries such as cuts and scrapes in the field. By agreeing to this waiver you confirm that your child is covered by valid health insurance, and acknowledge the inherent risks involved in participation in this program. By enrolling your child in our Program you assume such risks yourselves as well as on behalf of your child. Thus, by singing this form you agree that neither Kathryn Jaffe nor Kids in Nature or any of its employees or independent contractors is in any way legally or financially responsible for any injury, death, or illness, mentioned or unmentioned above, sustained by your child through participation in the Program and that you willingly consent to their participation in the Kids in Nature program. Thank you. By agreeing you also consent that the program may take photos of the camp which might include your child. These photos are for professional and outreach use only and will never use a child's name. Lastly, by checking the box you agree to be supportive of your child exploring nature and sometimes getting dirty!
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Please List Any Other Questions You Have Here!
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How Did You Hear About Our Program?
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A copy of your responses will be emailed to the address you provided.
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