Camp Registration
Animal Observer- A Daisy Scout Workshop Camp Registration
Refund Policy: 100% refund only if written cancellation notice is received 30 days prior to camp beginning.
Camper's Information
First Name
*
MI
Last Name
*
Date of Birth
*
Age
*
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
Sex
*
Male
Female
Grade
(Fall 2024)
*
Pre-school
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
T-Shirt Size
*
None
Youth S
Youth M
Youth L
Youth XL
Adult S
Adult M
Adult L
Adult XL
Does your child have food allergies or special learning conditions?
*
My child DOES NOT currently have any food allergie, special needs, or any unique learning conditions ( dyslexia, ADHD, autism)
My child DOES have food allergies or special needs including unique learning conditions ( dyslexia, ADHD, autism)
To give your child their best camp experience, please let us know about your child's food allergies (i.e. peanuts, etc..) or special learning conditions (dyslexia, ADHD, autism, etc..). This helps us create an optimum learning environment.
Is there anything that you'd like to share with us about your child or their time at Camp?
Parent's Information
First Name
*
MI
Last Name
*
Email Address
*
Home Phone
*
Secondary Phone
Address
*
Address 2
City
*
State
*
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip Code
*
Emergency Contact Information (please list a different contact from parent/guardian listed above)
Emergency Contact First Name
*
Emergency Contact Last Name
*
Emergency Contact Phone
*
Membership/Multiple Registration Information
Will you/Have you registered another child for Camp?
*
I WILL NOT register another child
I WILL/HAVE registered another child
Are you currently a member?
*
I AM NOT currently a member of the MMNS Foundation
I AM currently a member of the MMNS Foundation