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Awbury Summer Camp 2023
Contact Information
Parent/Guardian Name
*
First Name
Last Name
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Phone Number
*
Email
*
Verify Email
*
Would you like to begin receiving our weekly email newsletter?
Yes
How did you find out about Awbury Adventures Camp?
select one
Returning camper
Sibling was a camper
Email from Awbury
Awbury flyer or poster
Friend or word of mouth
Awbury website
Advertisement
Other
Child's Name
*
First Name
Last Name
Child's pronouns
*
For example: he/him; she/her; they/them
Child's Date of Birth
*
(mm/dd/yyyy)
Child's age as of beginning of camp session
*
Select which weeks of camp your child will attend:
Camp Katniss 1
Quantity
$620
-
June 20–June 30 (ages 8-12)
0
1
1
Myth & Magic
Quantity
$280
-
June 20-June 23 (ages 6-8)
0
1
1
Farm-to-Table
Quantity
$280
-
June 20-June 23 (ages 8-12)
0
1
1
Welcome to Wakanda
Quantity
$340
-
June 26-June 30 (ages 8-12)
0
1
1
Farm Friends
Quantity
$340
-
June 26-June 30 (ages 6-8)
0
1
1
Camp Katniss 2
Quantity
$620
-
July 3–July 14 (ages 8-12)
0
1
1
Forest Creatures
Quantity
$620
-
July 3–July 14 (ages 6-8)
0
1
1
Farming & Fun
Quantity
$620
-
July 3-July 14 (ages 8-12)
0
1
1
Ilvermorny Camp of Witchcraft & Wizardry
Quantity
$705
-
July 17–July 28 (ages 8-12)
0
1
1
Nature Foragers
Quantity
$680
-
July 17–July 28 (ages 6-8)
0
1
1
Young Urban Farmers
Quantity
$680
-
July 17-July 28 (ages 10-14)
0
1
1
Advanced Wilderness Survival Skills
Quantity
$705
-
July 31–August 11 (ages 10-14)
0
1
1
Child’s t-shirt size:
*
Youth XS
Youth Small
Youth Medium
Youth Large
Adult XS
Adult Small
Adult Medium
Child's Physician's Name
*
Health Insurance Provider
*
Health Insurance Policy Number
*
Medications Currently Used
*
Child's Physician's Phone Number
*
Illnesses, Medical Conditions, or Allergies
*
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?
*
Emergency Contacts - Phone numbers and relation to child:
*
Please list who has permission to pick your child up:
*
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 two weeks in advance of your child's first day of camp, we will retain $100.00 of your total payment and return the remainder. Should you cancel within two weeks of your child's first day of camp, no refund will be issued.
I agree to the refund policy