Fern Hollow Nature Center · 2023 Summer Camp

One moment please...

2023 Summer Camp - Scholarship application

2023 APPLICATION FORM

Please complete one form per child.

***Please provide us an email address that you routinely check - it is what we will use for program communication.***

Thank You!

Parent / guardian Name

First Name

Last Name

Participant Information

Please fill out this form for each of your children if you have multiple participating in programs.

Child's participation history

Would this be your child’s first program with Fern Hollow in 2023?

Yes

Child's Full name

First Name

Last Name

Date of Birth

Child's Age

Child's current grade (2022-2023 school year):

Emergency contact name

Please provide the full name of who to contact in case of an emergency

Emergency contact phone number

Please provide the phone number for your emergency contact

Preferred Camps

Please visit Fern Hollow Summer Camp web page to see your child's age-appropriate options and availability.
Let us know which camp(s) you would like to apply for by typing in the name(s) of the camp(s), separated by a comma. Example: Insects of Early Summer, Birdwatchers, On the Trail.

Fern Hollow 2023 Summer Camp

Your preferred Fern Hollow Summer Camp(s)

Electronic Signature

First & Last Name

First Name

Last Name

Contact Phone

Contact email

Verify Email

Date

(mm/dd/yyyy)

Thank you!

We will check for available spots in your preferred Summer Camps and email you within the next 3 days with a response and instructions on how to proceed. Please check your email and spam folder.

Don't forget to hit the "Submit" button below!