Fern Hollow Nature Center · Family Camping Night

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2022 REGISTRATION FORM

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

Thank You!

Family Camping Night

7:00pm Saturday August 13th to 9:00am Sunday the 14th

Contact Name

First Name

Last Name

Contact email

Verify Email

Date

(mm/dd/yyyy)

Are you a Fern Hollow Member?

Yes, I am member

No, I'm not a member

Family Camping Night Members Fee *	Quantity
$40 - Members Fee: $40 per family of 4 with one tent
$10 - Members Fee: $10 per additional person

Family Camping Night Public Fee *	Quantity
$50 - Public Fee: $50 per family of 4 with one tent
$10 - Public Fee: $10 per additional person

Participants Names

Please enter first and last names, as well as the children's ages for all participants being registered; separated by commas. Example: Tom Smith, Annie Smith, Jim Smith (8)

Would you like to make an additional donation?

$5 - Thank you!

$10 - Thank you!

$20 - Thank you!

Add 3% to my total amount to help cover the payment processing fees