little pioneers Camp Registration Form

If registering more than one camper, please fill out a separate registration form for each child. Thank you!

Little Pioneer's Name

First Name

Last Name

Little Pioneer's Age

Grade Level (Upcoming School Year)

Little Pioneer's Gender

Boy

Girl

Name of Big Pioneer Helper

4 year olds must be accompanied by an adult or teenage helper. Helpers are welcome to attend with 5 - 7 year olds.

Parent or Guardian

First Name

Last Name

Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Cell or Daytime Phone

(###)

###

####

Email Address

Museum Member?

Yes

Additional Information