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___________________________________

Summer Nature Day Camp   

Location:

Circle one-  Whittemore / __Frenchtown /___Radnor/__Lower Makefield          .

Dates_______________Course_________________________

Dates_______________Course_________________________

Dates_______________Course_________________________

Dates_______________Course_________________________

Required Tuition   

Summer Nature Day Camp_____@ $120 or____@ $90 for Lower Makefield

For Summer Nature Day Camps- Please indicate Courses requested.

Please call with any questions  908-439-1201

  $______

_____________________________________________________

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