IMPORTANT NOTE: This form is to be used for multiple locations. Some are handled by the The Roving Nature Center Office. For registration information pertaining to any other site, please contact the management at that particular park.

Nature Day Camp Registration Form

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

Please call before mailing. 1-800-284-0973 Some sites require direct registration.

Personal Info:

Name____________________________________Age_______

Address____________________________________________

City___________________________State______Zip________

Parent_________________________Phone________________

Alt. Contact____________________Phone________________

Medical Conditions___________________________________

Are you able to volunteer as an aide, if asked?     Yes       No

Course Info              Location:                                                  .

Dates_______________Course_________________________

Dates_______________Course_________________________

Dates_______________Course_________________________

Dates_______________Course_________________________

Required Tuition    No. of courses_____@ call for price             ______

See Nature Day Camp Locations for Use Fee Amount as these vary for each location

Please call with any questions

  $______

_____________________________________________________

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