Summer Camp Registration Form

Parent Information (Legal guardian)

Legal guardian information is required to be listed on the registration form. Payment does not have to be made by the legal guardian, however.


Child #1
List any Health Concerns/Medications/Allergies:
Only the following person(s) are allowed to pick up my child from Expedition Lanark:
Please list all authorized persons, including parent(s).

One summer camp t-shirt is included in the price of the camp session. (Shirts available for summer camp only) The shirt may be picked up by your child during camp. Please list size below
 
*Extended care is available from 4 to 6 p.m. for a weekly fee of $25 per child. Check the “EXT CARE” box beside each selected class to sign up.
Week
Group
Ext Care
June 9-13
June 16-20
June 30-July 2 3-Day Camp
July 7-11
July 14-18
July 21-25
July 28-Aug 1
Child #2
List any Health Concerns/Medications/Allergies:
Only the following person(s) are allowed to pick up my child from Expedition Lanark:
Please list all authorized persons, including parent(s).

One summer camp t-shirt is included in the price of the camp session. (Shirts available for summer camp only) The shirt may be picked up by your child during camp. Please list size below
 
*Extended care is available from 4 to 6 p.m. for a weekly fee of $25 per child. Check the “EXT CARE” box beside each selected class to sign up.
Week
Group
Ext Care
June 9-13
June 16-20
June 30-July 2 3-Day Camp
July 7-11
July 14-18
July 21-25
July 28-Aug 1
Child #3
List any Health Concerns/Medications/Allergies:
Only the following person(s) are allowed to pick up my child from Expedition Lanark:
Please list all authorized persons, including parent(s).

One summer camp t-shirt is included in the price of the camp session. (Shirts available for summer camp only) The shirt may be picked up by your child during camp. Please list size below
 
*Extended care is available from 4 to 6 p.m. for a weekly fee of $25 per child. Check the “EXT CARE” box beside each selected class to sign up.
Week
Group
Ext Care
June 9-13
June 16-20
June 30-July 2 3-Day Camp
July 7-11
July 14-18
July 21-25
July 28-Aug 1
Child #4
List any Health Concerns/Medications/Allergies:
Only the following person(s) are allowed to pick up my child from Expedition Lanark:
Please list all authorized persons, including parent(s).

One summer camp t-shirt is included in the price of the camp session. (Shirts available for summer camp only) The shirt may be picked up by your child during camp. Please list size below
 
*Extended care is available from 4 to 6 p.m. for a weekly fee of $25 per child. Check the “EXT CARE” box beside each selected class to sign up.
Week
Group
Ext Care
June 9-13
June 16-20
June 30-July 2 3-Day Camp
July 7-11
July 14-18
July 21-25
July 28-Aug 1
 
Payment Information
By signing below, I give my permission for my child to participate in the Alabama Nature Center's Expedition Lanark Outdoor Day Camps. I have read the policies and procedures set forth by the Alabama Nature Center and agree to abide by such policies. In the event that an accident does occur, I will not hold the Alabama Nature Center, its employees, volunteers, or Board of Directors responsible for any injuries. If emergency treatment or advice is deemed necessary by the Alabama Nature Center staff, I understand the above listed parent or guardian will be notified. If that individual cannot be reached, I authorize the Alabama Nature Center to arrange whatever emergency treatment is considered necessary.

CLICK HERE TO READ POLICIES AND PROCEDURES


 


Enter Your Full Legal Name As Your Signature:*
 
 

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