2024 Summer Camp Registration

Child Name*

First Name

Last Name

Does your child answer to another name or nickname?

Please Select*

Male Female

Age by the 1st day of camp*

Mailing Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Birthdate*

T-Shirt Size*

Does your child have any food or dietary restrictions?*

Contact Information

Please fill in as much contact information as you can for the parent/guardians.

Primary Parent/Guardian Name*

First Name

Last Name

Primary Parent/Guardian Relationship to Child*

Primary Parent/Guardian Email*

Primary Parent/Guardian Cell Phone

Primary Parent/Guardian Home Phone

Primary Parent/Guardian Work Phone

Secondary Parent/Guardian Name

First Name

Last Name

Secondary Parent/Guardian Relationship to Child

Secondary Parent/Guardian Email

Secondary Parent/Guardian Cell Phone

Secondary Parent/Guardian Home Phone

Secondary Parent/Guardian Work Phone

Emergency Daytime Contact (other than parents - someone who can pick up your child if you can not be reached)

Name*

First Name

Last Name

Phone*

Please list all persons allowed to pick up your camper. (parents, siblings, family friends, etc.)

Cost for one week of camp is $200/child, Pop-Up Camps/Workshops are $10/child

Scholarships are available. Please reach out to Katey, education@kenaiwatershed.org before you register if you are interested in a scholarship.

Checkbox ~ Please select one or more*

June 10-14 ~ Novice Naturalists ~ Ages 6-8 June 17-21 ~ Intermediate Ecologists - Ages 9-12 June 24-28 ~ Novice Naturalists ~ Ages 6-8 July 8-12 ~ Novice Naturalists - Ages 6-8 July 15-19 ~ Intermediate Ecologists - Ages 9-12 July 22-26 ~ Novice Naturalists - Ages 6-8 July 1st ~ Tree Planting - Ages 6-12

**MUST HAVE COMPLETED KINDERGARDEN TO ENROLL IN ANY SESSION

Would you like to provide the opportunity for another child to attend camp on scholarship?

Full Scholarship $200 Half Scholarship $100 Partial Scholarship $50 Pop-up Camp $10

*Scholarship donations are tax deductible.

Amount Due:* $

Total includes credit card processing fees

Credit Card*

PLEASE NOTE:

In order to complete camp registration, there is additional paperwork required. Please look for an email from Katey, education@kenaiwatershed.org to confirm your registration and direct you on the next steps!

We can't wait to see your campers this summer!