Registration for Nature Adventure Camp 2020: July 15 - 17 (W-F)

Child ages are 6 to 11. Camp tuition is $65 per child, payable online by credit card or by mailing in a check. Scholarships are available upon request in this form and are confidential.

For more information, call Bridgid Nelson at 425-457-0533 or email her at camp@andersonislandparks.org.
If your child has special needs, please contact Bridgid before registering to determine if the camp will be able to safely accommodate your child.

This application has 5 steps: 1. Name and Address, 2. Policy Acknowledgements, 3. Waiver and Release, 4. Health Information, 5. Payment (online or check).
You must complete all steps for the application to be accepted.

Name and Address

Child 1 First Name

Last Name

Birthday (required)

T-shirt size (required)

Child 2 First Name

Last Name

Birthday

T-shirt size

Child 3 First Name

Last Name

Birthday

T-shirt size

Parent/Guardian Name (required)

Phone # (required)

Cell Phone #

Address line 1 (required)
Address line 2

City (required)

State

Zip

Email address (required)

Parent #2 Name (optional)

Phone #

Cell Phone #

Parent #2 Email address

Grandparent Name (if applicable)

Phone #

Cell Phone #

Grandparent Email address

Extra T-shirts at $12 each

T-shirt size

VOLUNTEER: Enter your name if you would be willing to volunteer:

Camp Tuition - Select One

PAY TUITION ONLINE VIA CREDIT CARD
PAY TUITION VIA CHECK. I will mail a check once I complete this application.
APPLY FOR SCHOLARSHIP: I’d like to apply for community-funded scholarships.

Additional Notes or Instructions

2/4/2020.