2022 Club Nature

Join our team of experienced educators and experience science and social enrichment in the safest place possible — the Great Outdoors! For four weeks after school this spring, your child will immerse themselves in our farm, gardens, and native ecosystems and explore a unique theme while enjoying the health benefits of nature and learning to grow healthy food! Open to grades K-5, space is limited and scholarships are available for those in need. Thursdays, Sept. 8th – Sept. 29th, 4:00 - 5:30pm

This session is SOLD OUT - email [email protected] to be added to the waitlist!

Child's Name*

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Street Address*

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Phone Number*

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Birthdate*

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Grade (Fall 2022)*

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Gender*

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Parent/Guardian Name(s)*

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Daytime Phone*

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Best phone number to reach guardian while child is at camp.

Name(s) of other individuals authorized by parent/guardian to pick child up from camp?

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Emergency Contact Name*

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Emergency Contact Relationship to Child*

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Emergency Contact Phone Number*

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Doctor's Name*

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Doctor's Phone Number*

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Does your child have any medical conditions camp staff should be aware of?*

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(EX: asthma, epilepsy, etc. - save allergies for next section)

Does your child have any allergies? If so, please list reaction (severe, moderate, cannot contact etc.)*

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(EX: food, environmental, insect)

Please list any dietary restrictions.

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(Vegan, Halal, Kosher, etc.)

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