Calyx Nature Camp ~ Summer 2020
Please complete the following form to register your child for Calyx Summer Camp. Payment is due at the time of registration. You can make your check out to Service, Education & Adventure (or SEA), Calyx's fiscal sponsor, and send it to us at P.O. Box 1366, Freeland WA 98249. Or, if you would like to pay by PayPal, please contact Maisie at CalyxAdmin@whidbey.com. Registration will be considered complete upon receipt of payment.

Please complete one form for each child you are enrolling in Calyx Nature Camp.
Email address *
Child's Full Name *
Your answer
Child's Age and Birthdate *
Your answer
I am enrolling my child in the following week/s of Calyx Nature Camp 2020 (please check all that apply). *
Required
I understand that registration is not complete until Calyx receives payment for camp. I agree to pay according to the sliding fee scale below no later than April 30th, 2020 to secure my child's place in camp. *
A note on our new sliding fee scale: Calyx Nature Camp fees are based on a sliding fee scale of $195 - $325 per week. Although the real cost of one week of camp is $325, Calyx works to make its programs available below cost to ensure they are accessible to all families. In figuring out how much to pay, we ask you to consider what you can afford, what you would or do pay for a comparable camp, and how much Calyx programming is worth to you. We know that in some cases, your ability to pay will not match the worth that you ascribe to the experience. We understand. We ask you to pay what you can within that range. And, if you are able to pay more, please do as it helps ensure ongoing Calyx programming, and to ensure diversity within our programming. Please know that we will turn no child away due to the inability to pay, and please let us know if you are in need of scholarship support.
Do you have a valid Discover Pass so that you may park at South Whidbey State Park for pick up and drop off? *
If you do not have a pass and would like to purchase one through Calyx, please add $30 to your payment, and we will have a pass ready for you at the start of camp.
Full Name of Parent(s) and/or Guardian(s) *
Your answer
Parent/Guardian Telephone numbers *
Your answer
Parent/Guardian Address *
Your answer
Parent/Guardian Email Address *
Your answer
Please list anyone authorized to pick up your child other than Parent/Guardian listed above. *
Your answer
Local Emergency Contact 1 - Name, Relationship, Telephone Number *
Please make sure we have two local emergency contacts in case we are unable to reach you in an emergency.
Your answer
Local Emergency Contact 2 - Name, Relationship, Telephone Number *
Please make sure we have two local emergency contacts in case we are unable to reach you in an emergency.
Your answer
Out-of-State Emergency Contact - Name, Relationship & Telephone Number *
Please make sure we have an out-of-state emergency contact telephone number should there be a local emergency that jams local telephone lines.
Your answer
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