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June Session Citizen Science Adventure Camp Application 2021
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This camp is operated by Learning Endeavors, a Non-Profit Organization based on Maui:
Choose Camp Session or Sessions
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SESSION 1: June 7, 8, 9, 10 from 8:30 AM -12:30 PM
Required
Camper's Full Name and "Nickname" if applicable
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Your answer
Camper's Date of Birth
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MM
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DD
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YYYY
Grade entering in Upcoming School Year 2021-22
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Your answer
Parent/Guardian Full Name
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Your answer
Parent/Guardian Email
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Your answer
Parent/Guardian Phone(s)
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Your answer
Parent/Guardian Mailing Address
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Your answer
This is an outdoor, active camp. Please rate your child's physical ability to engage in a moderate hike and physical exercise.
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Struggles
1
2
3
4
5
Strong and Goes For it!
This camp will be taking place at Waihe'e Coastal Dunes and Wetlands Refuge on day 1, Kealia Ponds National Wildlife Refuge on day 2 and at the VFW in North Kihei on days 3 & 4. Dropoff/pick up locations will be shared after registration is complete. Check the appropriate box below.
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I understand there is a different drop-off/pick-up location each day.
Other:
Please list any allergies and medications your camper may have.
Your answer
Please provide an additional point contact in case of emergency. Full name, relationship, phone #.
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Your answer
What type of medical coverage does your child have? (HMSA, Kaiser, other)
Your answer
Please type your name below to "SIGN" if you give approval for Learning Endeavors to use photos of your camper or digital content created by your camper from the camp session for non-commercial, promotional and educational use only.
Your answer
Camper T-Shirt Size (included in tuition)
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Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Please share with us any additional information about your camper we should know. Particular goals for this Summer? Does your child require any specific accommodations?
Your answer
Registering a sibling? If so, submit an application for each child separately. Full tuition for 1st child, then receive $15 discount for additional sibling(s). Please name all siblings here, if this applies.
Your answer
How did you hear about us?
Maui Family Magazine
Maui Mama
Facebook
Instagram
Word of Mouth
Other:
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