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2025 Summer Nature Camp Registration Form

The following form must be completed for every camper at least one week before the first day of camp.

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

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 mpalmer@adkinsarboretum.org.
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 and faces 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.
I understand that refunds will not be issued within two weeks of my camper's start date in order to ensure that staff have adequate time to fill the space.
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