Whittemore Wildlife Sanctuary Registration Form

 

Spring KinderKapers/Summer Nature Camp Registration Form

The Roving Nature Center, PO Box 26, Oldwick, NJ  08858

1-800-284-0973

 

Personal Info:

Name____________________________________Age_______

Address____________________________________________

City___________________________State______Zip________

Parent_________________________Phone/email ________________

Alt. Contact____________________Phone________________

Medical Conditions___________________________________

 

 

Course Info/Specify Kinderkapers or Nature Camp              Location: Whittemore                                                 .

Dates_______________Course_________________________

Dates_______________Course_________________________

Dates_______________Course_________________________

Dates_______________Course_________________________

 

Required Tuition    Kinderkapers _____@ $90

 

Summer Nature Day Camp_____@ $120

For Summer Nature Day Camps- Please indicate Courses requested.

 

Please call with any questions  908-439-1201

 

 

  $______

_____________________________________________________

Date Rec’d                Ck. No.                    Amt.                         By: