Awbury Arboretum · Camp 2020

Parent/Guardian Name

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First Name

Last Name

Address

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Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Phone Number

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Email

*

Would you like to begin receiving our weekly email newsletter?

Yes

How did you find out about Summer Adventure Camp at Awbury?

Select which weeks of camp your child will attend:

Camp Katniss: first session

$600 - Camp Katniss: June 22nd – July 2nd (AGES 8-12)

Camp Katniss: second session

$650 - July 6th – July 17th (AGES 8-12)

Forest Creatures

$600 - June 22th – July 2nd (AGES 6-8)

Nature Foragers

$650 - July 6th – July 17th (AGES 6-8)

Ilvermorny Camp for Witchcraft & Wizardry

$675 - July 20th – July 31st (AGES 8-12)

Advanced Wilderness Survival Skills

$675 - August 3rd – 14th (AGES 10-13)

Child's Name

*

First Name

Last Name

Child's Age as of June 2020

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What is your child’s t-shirt size:

*

Youth XS

Youth Small

Youth Medium

Youth Large

Adult XS

Adult Small

Adult Medium

If attending Ilvermorny Camp for Witchcraft & Wizardry, does your child have permission to watch “Harry Potter and the Chamber of Secrets,” which is rated PG?

Yes

No

Child's Physician's Name

*

Health Insurance Provider

*

Health Insurance Policy Number

*

Medications Currently Used

*

Child's Physician's Phone Number

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Illnesses, Medical Conditions, or Allergies

*

Child's Date of Birth

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(mm/dd/yyyy)

Medical Care Consent

*

I do hereby consent to any medical care and the administration of anesthesia determined by a physician to be necessary for the welfare of my child while said child is under the care of Awbury Arboretum and I am not reasonably available by telephone to give consent. I am the lawful guardian of the child listed and there are no court orders now in effect that would prohibit me from conferring the power to consent upon another person.

Agree

Do not agree

Is there anything special about your child's learning style or physical abilities that you would like to share with us?

*

Please list who has permission to pick your child up:

*

Emergency Contacts - Phone numbers and relation to child:

*

Photo Release

*

Photographs to be taken of my registered child that have the potential to be used in Awbury exhibits, published in local news outlets and in Awbury publications, or published on Awbury websites or other digital media.

I agree and give photo release permission

I disagree and do not give photo release permission

Refund Policy

Should you need to cancel your child's registration and you notify us more than one week in advance of your child's first day of camp, we will retain $75.00 of your total payment and return the remainder.

Shoud you cancel within one week of your child's first day of camp, no refund will be issued.

Paying with Credit Card?

Click "Enter Payment Information" to see a summary of your purchase. Once on the summary page, click the yellow PayPal "checkout" button to complete your purchase securely. You will the be able to able to select "Pay with Debit or Credit Card."

Click here to for example images.