2024 Adventure Camp about the Environment Registration

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Camp Date: June 23rd-26th, 2024
Camp Location: Kamp Kaleo, Burwell, NE 68823
Contact us at (308) 645-2250 or ulnrd@upperloupnrd.org

Registration deadline is June 7th, 2024

**If you are registering more than one camper please fill out separate forms for each individual.**

Camper Name *

Gender *

Female

Male

Guardian Name(s) *

Guardian(s) Phone Number(s) *

Guardian Email *

Address *

City *

State *

Zip code *

Have you attended Adventure Camp about the Environment before? *

Yes

What Natural Resources District do you reside in? *

Please visit https://www.nrdnet.org/nrds/find-your-nrd if you need help determining your District.

Central Platte NRD (Grand Island)

Lewis and Clark NRD (Hartington)

Little Blue NRD (Davenport)

Lower Big Blue NRD (Beatrice)

Lower Elkhorn NRD (Norfolk)

Lower Loup NRD (Ord)

Lower Niobrara NRD (Butte)

Lower Platte North NRD (Wahoo)

Lower Platte South NRD (Lincoln)

Lower Republican NRD (Alma)

Middle Niobrara NRD (Valentine)

Middle Republican NRD (Curtis)

Nemaha NRD (Tecumseh)

North Platte NRD (Scottsbluff)

Papio Missouri NRD (Omaha)

South Platte NRD (Sidney)

Tri-Basin NRD (Holdrege)

Twin Platte NRD (North Platte)

Upper Big Blue (York)

Upper Elkhorn NRD (O'Neill)

Upper Loup NRD (Thedford)

Upper Niobrara White NRD (Chadron)

Upper Republican NRD (Imperial)

I need help finding my NRD

Other:

2023-2024 Grade Level *

Grade the individual has completed during the 2023-2024 school year

6th grade or home-schooled equivalent

7th grade or home-schooled equivalent

Dietary restrictions & allergies *

Please let us know of any dietary restrictions and/or allergies to certain foods, materials, insects, etc.

T-shirt size (adult unisex size) *

XXL

Have you contacted your NRD about a scholarship? *

Yes

No, but I plan on applying for a scholarship (contact your local NRD for best method of payment)

No, I do not plan on applying for a scholarship

How do you plan on submitting payment? *

If you are applying for a scholarship please contact your NRD to ask about the preferred method of payment. If you are not applying for a scholarship, please select 'mail check or call with payment'. All payments must be received no later than Sunday, June 23rd

I understand that the full payment of $235* must be submitted to the Upper Loup NRD by June 23rd, 2024.

Please contact your local NRD for scholarship opportunities to help offset the cost. If you are applying for a scholarship, contact your NRD to determine the best method of payment.

If you do not receive a scholarship you can submit payment via check or credit card. Checks may be mailed to the Upper Loup NRD, 39252 Highway 2, Thedford, NE 69166, Credit card payments can be made by calling the Upper Loup office at 308--645-2250 to pay over the phone. *Includes $25 non-refundable administrative fee

Yes

No- Your registration form will not be accepted if selected

I understand that the camper guardian is required to complete and sign the waiver packet and either return to the Upper Loup NRD or bring with them on check in day at camp. Campers without completed forms will not be able to attend camp. *

Waiver packet will be both emailed and mailed to addresses provided above.

Yes

No- Your registration form will not be accepted if selected

Anything else we should know?

Submit

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