Thanksgiving 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).

Week
Group
Ext Care
Nov. 25-27
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).

Week
Group
Ext Care
Nov. 25-27
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).

Week
Group
Ext Care
Nov. 25-27
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).

Week
Group
Ext Care
Nov. 25-27
 
*Extended care is available from 4 to 6 p.m. for a weekly fee of $25 per child.
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


I also hereby grant the Alabama Nature Center the right to take and utilize photographs of my child participating in camp activites for the purpose of promotion and advertising.

Enter Your Full Legal Name As Your Signature:*
 
 

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