Wildlife Images Rehabilitation & Education Center

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STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

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!

Wildlife Images is excited to offer scholarships for EVERY CAMPER!

Use discount code ALLCARECAMP when registering to reduce camp fees to $50! Our 2023 Camp Scholarships are generously sponsored by AllCare Health.

Spring Has Sprung!

Spring has sprung and it is the busiest time of year for the animal world! This week campers will meet and learn about rabbits, bears, and other animals as they emerge from their winter dens. They will explore the spring season through lessons, games, and STEAM activities. Your child will also learn about the baby animals like squirrels who are born in spring and often come to Wildlife Images for care.

Eagle Nest Camp is located in the Lodge Classroom below the Gift Shop.

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

Is your preferred date sold out? Please fill out our Wait List Form to be added to a wait list! If you have questions, please contact camps@wildlifeimages.org

Spring Has Sprung!

Eagle Nest Sold Out

$200.00

DISCOUNT CODE

Use Discount Code ALLCARECAMP to receive our Camp Scholarship, generously sponsored by AllCare Health!

Discount Code

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Total: $0.00

Registration Information

Registrant Name: *

Birthdate: *

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 accept students who are medically fragile, or on an IEP. 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:

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 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.

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: *