Summer Camp Registration Summer Camp Registration 2024 "*" indicates required fields Parent/Guardian Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Are you a Woodland Dunes member?* Yes No Camper InformationThe following adults have permission to drop off and pick up my child.*Child's Name* First Last Child's Date of Birth* Please share any additional information that we should know about your child.Emergency InformationDaytime Emergency Contacts*List at least two emergency contacts. Include name, relationship to child and phone number. Insurance Carrier* Insurance I.D. #* Preferred Hospital* Medical Treatment* I hearby authorize my child to receive emergency medical treatment in the event that it is necessary. I do not authorize my child to receive emergency medical treatment in the event that it is necessary. My child has the following health conditions and/or allergies (please include food allergies as a snack will be provided).*I hereby grant permission to Woodland Dunes Nature Center, the rights of my image, likeness and sound of my voice as recorded on audio or video tape without payment or any other consideration. I understand that my image may be edited, copied, exhibited, published or distributed and waive the right to inspect or approve the finished product wherein my likeness appears. By signing this release I understand this permission signifies that photographic or video recordings of me may be electronically displayed via the Internet or in the public educational setting. There is no time limit on the validity of this release nor is there any geographic limitation on where these materials may be distributed.Photography & Video Release Authorization* By checking this box I acknowledge that I have completely read and fully understand the above release and agree to be bound thereby. I hereby release any and all claims against any person or organization utilizing this material for educational purposes. By checking this box I am refusing to acknowledge that I have completely read and fully understand the above release and agree to be bound thereby. I hereby release any and all claims against any person or organization utilizing this material for educational purposes. Choose The Summer Camps Your Camper Will AttendI would like to register my camper for:* Little Wings Exploring Birds Summer Camp Nature Grossology Summer Camp Trail Trekkers Summer Camp Frogs, Toads and Salamanders Summer Camp Little Wings Exploring Insects Summer Camp Habitat Explorers Summer Camp Sensational Senses Summer Camp Little Wings Exploring Seeds Summer Camp Little Wings Exploring Birds Summer Camp 4-6 years old (have not completed Kindergarten)Little Wings Exploring Birds Summer Camp Session 1: Friday, June 14th, 2024, 9-11:30am Session 2: Friday, June 14th, 2024, 1-3:30pm Member Cost of Little Wings Exploring Birds Summer Camp Session 1 Price: 4 spots available. Non-Member Cost of Little Wings Exploring Birds Summer Camp Session 1 Price: 4 spots available. Member Cost of Little Wings Exploring Birds Summer Camp Session 2 Price: 6 spots available. Non-Member Cost of Little Wings Exploring Birds Summer Camp Session 2 Price: 6 spots available. Nature Grossology Summer Camp 7-11 yearsNature Grossology Summer Camp Session 1: Tuesday, June 18th, 2024, 1-3:30pm Session 2: Wednesday, June 19th, 2024, 1-3:30pm Member Cost of Nature Grossology Summer Camp Session 1Sorry, this session is full.Non-Member Cost of Nature Grossology Summer Camp Session 1Sorry, this session is full.Member Cost of Nature Grossology Summer Camp Session 2 Price: 1 spots available. Non-Member Cost of Nature Grossology Summer Camp Session 2 Price: 1 spots available. Trail Trekkers Summer Camp Ages 11-14 years Tuesday, June 25th-Thursday, June 27th, 2024, 1-3:30pmMember Cost of Trail Trekkers Summer Camp Price: 13 spots available. Non-Member Cost of Trail Trekkers Summer Camp Price: 13 spots available. Frogs, Toads and Salamanders Summer Camp 5-7 years old Frogs, Toads and Salamanders Summer Camp Session 1: Tuesday, July 2nd, 2024, 9-11:30am Session 2: Tuesday, July 2nd, 2024, 1-3:30pm Member Cost of Frogs, Toads and Salamanders Summer Camp Session 1Sorry, this session is full.Non-Member Cost of Frogs, Toads and Salamanders Summer Camp Session 1Sorry, this session is full.Member Cost of Frogs, Toads and Salamanders Summer Camp Session 2 Price: 7 spots available. Non-Member Cost of Frogs, Toads and Salamanders Summer Camp Session 2 Price: 7 spots available. Little Wings Exploring Insects Summer Camp 4-6 years old (have not completed Kindergarten)Little Wings Exploring Insects Summer Camp Session 1: Wednesday, July 10th, 2024, 9-11:30am Session 2: Wednesday, July 10th, 2024, 1-3:30pm Member Cost of Little Wings Exploring Insects Summer Camp Session 1 Price: 5 spots available. Non-Member Cost of Little Wings Exploring Insects Summer Camp Session 1 Price: 5 spots available. Member Cost of Little Wings Exploring Insects Summer Camp Session 2 Price: 7 spots available. Non-Member Cost of Little Wings Exploring Insects Summer Camp Session 2 Price: 7 spots available. Habitat Explorers Summer Camp 7 - 10 yearsMember Cost of Habitat Explorers Summer CampSorry, this session is full.Non-Member Cost of Habitat Explorers Summer CampSorry, this session is full.Sensational Senses Summer Camp 5-7 years oldSensational Senses Summer Camp Session 1: Thursday, August 1st, 2024, 9-11:30am Session 2: Thursday, August 1st, 2024, 1-3:30pm Member Cost of Sensational Senses Summer Camp Session 1 Price: 1 spots available. Non-Member Cost of Sensational Senses Summer Camp Session 1 Price: 1 spots available. Member Cost of Sensational Senses Summer Camp Session 2 Price: 9 spots available. Non-Member Cost of Sensational Senses Summer Camp Session 2 Price: 9 spots available. Little Wings Exploring Seeds Summer Camp 4-6 years old (have not completed Kindergarten)Little Wings Exploring Seeds Summer Camp Session 1: Wednesday, August 7th, 2024, 9-11:30am Session 2: Wednesday, August 7th, 2024, 1-3:30pm Member Cost of Little Wings Exploring Seeds Summer Camp Session 1 Price: 6 spots available. Non-Member Cost of Little Wings Exploring Seeds Summer Camp Session 1 Price: 6 spots available. Member Cost of Little Wings Exploring Seeds Summer Camp Session 2 Price: 9 spots available. Non-Member Cost of Little Wings Exploring Seeds Summer Camp Session 2 Price: 9 spots available. Total Payment InformationPayment Type* Check PayPal If you would like to pay by check, please write summer camp & your child's first name in the memo line and mail to: Woodland Dunes Nature Center Summer Camp P.O. Box 486 Two Rivers, WI 54241-0486