Camp Registration Form

Age of Child on the First Day of Camp*

Email*

Phone (cell)*

Phone (home)

Phone (work)

Name of First Emergency Contact (in case the parent / guardian listed above is not available)*

First Emergency Contact Phone Number*

Name of Second Emergency Contact (in case the parent / guardian listed above is not available)

Second Emergency Contact Phone Number

If yes, who?

Please list a name(s) of registered campers your camper requests to be with. PLEASE NOTE; camp Teams/groups will be divided by age; youngest, middle, and oldest for age appropriate activities, hikes, lessons, games, etc. We can typically honor buddy requests up to two years’ age difference. Group activities are designed for their age.

Note:
Camp Teams/Groups will be divided by age group; youngest, middle, and oldest (as we had done pre-covid summers)

Referred By:

Membership Type

Camp Session 1 - Member*

Price:

Camp Session 1 – Member*

Price:

Camp Session 2 - Member*

Price:

Camp Session 2 - Member*

Price:

Camp Session 3 - Member*

Price:

Camp Session 3 - Member*

Price:

Camp Session 4 - Member*

Price:

Camp Session 4 - Member*

Price:

Camp Session 5 - Member*

Price:

Camp Session 5 - Member*

Price:

Camp Session 6 - Member*

Price:

Camp Session 6 - Member*

Price:

Camp Session 7 - Member*

Price:

Camp Session 7 - Member*

Price:

Camp Session 8 - Member*

Price:

Camp Session 8 - Member*

Price:

Camp Session 9 - Member*

Price:

Camp Session 9 - Member*

Price:

Camp Session 1 - Non-Member*

Price:

Camp Session 2 - Non-Member*

Price:

Camp Session 3 - Non-Member*

Price:

Camp Session 4 - Non-Member*

Price:

Camp Session 5 - Non-Member*

Price:

Camp Session 6 - Non-Member*

Price:

Camp Session 7 - Non-Member*

Price:

Camp Session 8 - Non-Member*

Price:

Camp Session 9 - Non-Member*

Price:

Refund Policy:
Refunds (less a $35 administration fee per session cancelled) will only be provided if cancellations are received one week (7 days) minimum prior to the selected camp week.

Photograph Release:
By submitting this form, I grant The Dahlem Conservancy permission to display photo(s) or video(s) of my child on posters, brochures, displays, and any other audio-visual media representing The Dahlem Conservancy and/or its programs. Displays may be in-house, at community events, broadcasts, in newspapers, or any other audio, visual media.

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Camp Registration Form

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