Fox Kits - 2019-20 Sign-up Form
Youth Nature Immersion - Signup Form
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How many children would you like to enroll in camp? *
What is your child's first and last name *
Please list names if enrolling more than one child
How old is your child? *
(At time of camp)
Your First Name *
Your Last Name
What is your emergency contact number? *
What is your email address?
Does your child have any allergies? *
If yes, please list.
What is the name of your child's health care provider/doctor and the number they can be reached at? *
What is your child's medical ID #? *
How did you hear about Fox Kits?
What is your address? *
What is your phone number? *
Does your child have any medical conditions that camp staff should be aware of?
Does your child know how to swim? *
If yes, at what level?
We look forward to spending an amazing time with your child in the Petaluma River Watershed. Is there anything you can tell us about your child that will help improve their experience?
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