2019 Summer Camp Registration Form
Instructions: We are excited that your child has chosen to participate in the summer programs at Cope Environmental Center. We look forward to your child's visit. In order to better serve your child, please fill out the form below to the best of your ability. Please complete one form for each child you sign up and then follow up with your registration fee. Payment is due before camps start on June 3, 2019. Payment forms accepted (cash, credit, and check; please make checks out to Cope Environmental Center).

Our mailing address:
Cope Environmental Center
1730 Airport Rd.
Centerville, IN 47330

Contact us at (765)855-3188 or www.copeenvironmental.org for more information.

Email address *
Camper's First Name *
Your answer
Camper's Last Name *
Your answer
Camper's Birthday *
MM
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DD
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YYYY
Age at camp *
Your answer
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