Awbury Arboretum · Awbury Summer Camp 2022

Contact Information

Parent/Guardian Name

*

First Name

Last Name

Address

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Address Line 1

Address Line 2

City

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?

Child's Name

*

First Name

Last Name

Child's pronouns

*

Child's Date of Birth

*

(mm/dd/yyyy)

Child's Age as of June 2022

*

Select which weeks of camp your child will attend:

Camp Katniss: first session	Quantity
$650 - June 20th – July 1st (AGES 8-12)

Camp Katniss: second session	Quantity
$600 - July 5th – July 15th (AGES 8-12)

Forest Creatures	Quantity
$650 - June 20th – July 1st (AGES 6-8)

Nature Foragers	Quantity
$600 - July 5th – July 15th (AGES 6-8)

Ilvermorny Camp for Witchcraft & Wizardry	Quantity
$675 - July 18th – July 29th (AGES 8-12)

Welcome to Wakanda	Quantity
$325 - July 18th-July 22nd (AGES 8-12)

Farm Camp	Quantity
$325 - July 25th-July 29th (AGES 8-12)

Advanced Wilderness Survival Skills	Quantity
$675 - August 1st – 12th (AGES 10-14)

What is your 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

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Medications Currently Used

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

I agree to the refund policy