Wild World of Bugs (8/10 – 8/14, 2020) Summer Bug Camp Registration Form Name of Child Registering for Camp* If registering more than one child, include names of all children.Child's preferred pronouns* If registering more than one child, include pronouns for all children.Age of Child Registering for Camp* If registering more than one child, include ages of all children.School and Grade Level of the Child for the 20/21 School Year* If registering more than one child, include school and grade information for all children.Parent/Guardian's Name* Parent/Guardian's Phone Number* Parent/Guardian's Email Address* Parent/Guardian's Mailing Address* Emergency Contact Information: Name, Phone and Relation to the Camper(s). Must be different from the parent or guardian information above.* Does the camper(s) have any known medical conditions? If yes, please describe them and share any information that might be useful to the adult in charge.*Will your child be brining any medications with them to the camp? If yes, please provide any information that the adults in charge will need to know.*Does your child have any activity restrictions? If yes, please describe them.*Does your child have any dietary restrictions or allergies? If yes, please describe them.*Does your child have any known behavioral conditions? If yes, please describe them.*If your child is having a bad day, what do you find works best to address it?*Is there anything else you would like your program's instructor to be aware of?In case of a medical emergency, we will make every effort to contact the camper's guardian and emergency contact persons listed. However, do you give us permission to administer routine first aid and seek additional medical assistance, if neccessary?*YesNoMay we use photographs of your child in publicity materials, including social media posts?YesNoDuring the camp we will be creating a Google Pages site to share data about the bugs we've collected and photos of our day. May we use photographs of your child on this website?*YesNoWe do not share the link to this site with the general public but do make the link public for families to share (often with grandparents far away). Δ
