Wildlife Images Rehabilitation & Education Center

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Thank you for registering for Winter Camp EEK! This day camp is a fun and engaging way for youth to learn about their natural environment. We’re so glad your child will be joining us. Every day is different at Camp EEK! Just pick which day(s) you want your child to attend.

There are scholarships available! Please fill out our Scholarship Form before registering for Camp to receive a scholarship code. Wildlife Images cannot refund the difference after you register.

Arctic Adventure

Bundle up and dive into icy cold Arctic waters if you are brrrrrrave enough! How cold does it actually get at the North Pole and how are animals adapted to survive in that environment? Join us for a week of discovering how our wild friends survive and thrive in the freezing cold climate of the Arctic!

Tuesday, January 2nd, 2024

Wednesday, January 3rd, 2024

Thursday, January 4th, 2024

Friday, January 5th, 2024

Is your preferred date sold out? Please fill out our Waitlist Form

Please register 1 child at a time to ensure
we have the proper information.

Arctic Adventure - Lodge Classroom

Tuesday, January 2nd, 2024 - Lodge Sold Out

$40.00

Wednesday, January 3rd, 2024 - Lodge Sold Out

$40.00

Thursday, January 4th, 2024 - Lodge Sold Out

$40.00

Friday, January 5th, 2024 - Lodge Sold Out

$40.00

Discount Code

Are you a Member? Receive your Membership discount by emailing education@wildlifeimages.org for your discount code before you register. Once you have registered we cannot refund the difference.

Scholarships are available! Please fill out our Scholarship Form before registering for Camp EEK! Wildlife Images cannot refund the difference after you register.

Discount Code

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Total: $0.00

Registration Information:

Registrant Name: *

Birthdate: *

Ages 6-11 Only

Current School: *

Medical Information: *

Please list any medical conditions, allergies, special considerations or dietary issues, etc. we should be aware of. Due to the nature of the programming, facility, and staffing, Wildlife Images regrets it may not accommodate students who are medically fragile, or on an IEP or 504 Plan without prior approval. Ineligibility for programming is at the discretion of Wildlife Images staff. Requests for special accommodations will be considered on a case-by-case basis with prior notice so we can discuss how to best accommodate your camper’s needs. To discuss special accommodations, please email camps@wildlifeimages.org

Parent / Guardian Name: *

Parent / Guardian Telephone: *

Parent / Guardian Email: *

This email will receive registration confirmation, camp changes, and class information.

Participant Release Form: *

I am the participant’s (named above) parent or legal guardian. I represent to WIREC that I have the authority to execute this release, and that I will hold WIREC harmless from any and all claims or demands that may arise from this release. I hereby authorize the teacher, supervisor, or designated representative of WIREC to either call emergency services or transport and admit my child to a medical facility and arrange for my child to be provided with emergency treatment by a licensed physician. I fully understand & accept that my child & I are not covered by any insurance pertaining to Wildlife Images, or guaranteed medical payment coverage which would compensate should I or my son/daughter be injured. I authorize and consent to my child being transported, by means selected by WIREC, for field trips and/or to and from home. I fully release, discharge, and hold harmless forever, Wildlife Images, its corporation officers, board of directors, staff, & volunteers, from all things, acts, omissions, and conditions which may cause me or my child, injury or any other problems.

Restrictions & Requirements *

I have read and understand the Camp EEK Family Handbook 2022 and all the requirements and guidelines associated with it. https://wildlifeimages.org/wp-content/uploads/2023/04/Camp-EEK-Family-Handbook-2023.pdf

Image Release: *

I hereby give my permission for images of my child, taken during Wildlife Images (WIREC) activities through video, photo and digital camera, to be used for the purpose of WIREC’s promotional material and publications, and waive any rights of compensation or ownership there to.

Emergency Contact Information:

We will contact the parent or guardian first. This should be a secondary emergency contact in case we cannot contact the guardian.

Emergency Contact: *

Phone Number: *

Relationship To Registrant: *

Who, other than yourself,
is authorized to pick up your child from the facility?

Name:

Relationship To Registrant:

Name:

Relationship To Registrant:

Name:

Relationship To Registrant:

Payer Information:

First Name: *

Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Telephone:

E-mail: *

A receipt will be e-mailed to this address.

How did your hear
about us?

Your Payment Information:

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *