Camp Registraton Form - KIDS for the BAY

KIDS for the BAY - winner of the 2005 EPA environment award

KIDS for the BAY 2010 Summer Camp Registration Form

Application deadline is May 14^th, 2010
Places are allocated on a first come first served basis

←required for verification and processing

Camper Registration Information Camper's Name: ←
Camper's Birth Date: ←
Parent / Guardian Name: ←
Address: ←
Address line 2:
City: ←
State: ←
Zip: ←
Country:
Home Phone: ←
Cell Phone: ←
Work Phone: ←
Email: ←

T-Shirt Size

Please choose a size for your child's camp t-shirt:

Child’s Small
(size 8)

Child’s Medium
(size 10)

Child’s Large
(size 12)

Other size:

Camp Session Information

Camp Sessions (Select your preference)

A 75% refund will be given until May 14, 2010. No refunds will be given after May 14, 2010.
If the camp session does not fill, we reserve the right to cancel and will offer a full refund.

How did you hear about our Summer Camp? (Select all that apply)

Returning Camper?
School (Name):
Internet (Specify):
Event (Specify):
Friend (Name):
Other (Specify):

Camp Scholarship Fund Donation

I would like to make a donation to the Camp Scholarship Fund to allow other children the opportunity to experience camp. Please charge an additional $, in addition to the camp registration fees, to my credit card.

Please note! Registering online does not guarantee a space in the camp session. Once your registration has been submitted you will be contacted by KIDS for the BAY and notified whether your child has a confirmed place in the camp. Your credit card will not be charged until you are guaranteed a space in camp.

KIDS for the BAY is a project of Earth Island Institute

KIDS for the BAY 2010 Summer Camp Registration Form

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