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Adkins Arboretum Summer Nature Camps - 2021 Camper Information Packet


My camper is registered for:
Country
Address Line 1
City
State
Postal Code

EMERGENCY CONTACT INFORMATION


HEALTH INFORMATION

Are there any health problems, including physical, psychiatric, or behavioral problems, of which we need to be aware?
Are there any medications, dietary restrictions, allergies, or special needs that we need to be aware of to ensure that your child’s camp experience is positive?

IMMUNIZATION INFORMATION (must list current residence above)

For campers who currently reside within the United States, a United States territory, or the District of Columbia: Does the camper have any immunization exemptions because of a parental or guardian objection or medical contraindication?
  • For campers who reside outside the United States, a United States territory, or the District of Columbia: Send record of vaccination or immunity on Department form MDH-896 to jhoughton@adkinsarboretum.org.

* Parents of campers enrolled in Camps Bumblebee, Turtle, and Pollywog are asked to apply sunscreen to their children before the start of camp. Sunscreen will not be provided by Adkins Arboretum.

Campers enrolled in Camps Paw Paw and Egret should apply sunscreen before the start of camp and also bring their own sunscreen for further applications.


My child has permission to be photographed or videotaped while attending Summer Nature Camp. I understand these images may be used later for marketing (names will not be used).

I certify that all the information on this form is correct to the best of my knowledge. I understand it is my responsibility to notify Arboretum staff to change any of the information contained in this form.


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