Thank you for registering for Spring 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! You can choose to register for the whole week, or by the day. If registering by the day, you can choose multiple days, just pick which days you want your child to attend! Please register 1 child at a time to ensure we have the proper information.

$100
$25
$25
$25
$25
$25


Total: $0.00
Future Commitment: $0.00
Registration Information
Are there any medical conditions, allergies, special considerations or dietary issues, etc. we should be aware of?
Who, other than yourself, is authorized to pick up your child from the facility or at transport location?
Emergency Contact Information
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.
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.
Payer Information
This is the address where your credit card statements are mailed.
A receipt will be e-mailed to this address.
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