Camp Registration Form

Camper's Name*

First Last

Camp Sessions*

If attending multiple sessions, please select all sessions your camper will be attending. Sessions not listed are FULL, please call the office to be put on the Wait List.

Session 8 Creepy Critters; July 31-August 4 for ages 4 to 6 yrs

Age of Child on the First Day of Camp*

T-Shirt Size (shirt included with registration)

Name of Parent / Guardian*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

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

Is this a returning or first-time camper?*

Returning
First-Time

Is another family member attending camp?

Yes
No

If yes, who?

Please list a name(s) of registered campers your camper wants to be with.

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

How did you hear about Dahlem's Outdoor Adventure Day Camp? (Check all that apply)

Returning Camper
Social Media (Facebook, Instagram, Twitter, etc.)
Email Notice from Dahlem
Dahlem's Website
Advertisement/Flyer
Referral
Other

Please list name(s) of registered campers your camper wants to be with:

Referred By:

Are You a Dahlem Member?*

Yes
No

Become a Member?*

Yes
No

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.

Total

$0.00

Camp Registration Form

ALL CAMP SESSIONS ARE FULL — REGISTRATION IS CLOSED

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