Summer Camp Registration

Camper Name

First

Last

School

Birthdate

Camper t-shirt size

Known Allergies

Does your camper have any known allergies? Food, medications, etc.

Daily Medications

Does your camper take any daily medications that we should know about?

Camper's Doctor

Doctor's Phone

Contact Information

Parent/Guardian Name

First

Last

Phone

Email

Address

Address Line 1

Address Line 2

City

State

Zip Code

Emergency Contact Information

Please enter the name of the parent or guardian who should be contacted in the case of an emergency.

Relationship

Parent
Sibling
Relative
Friend

Emergency Contact Name

First

Last

Phone

Alternate Phone

Camp Selection & Policies

Evergreen Heritage Center Foundation will be offering two weeks of summer camp in 2025. Young Naturalist Camp (ages 6-9) and Sizzle & Stir Cooking Camp (ages 8-11).

Camp Selection

Young Naturalist Camp: June 23 - 27
Sizzle & Stir Cooking Camp: July 14-18

Camp Policies

Read Our Policies Here: https://docs.google.com/document/d/1qqfggRqidXE1RIdZIIFL3vOZuxge06yitJZSZEw8JTM/edit?usp=sharing

Do you agree to the Evergreen Heritage Center Foundation Summer Camp Policies?

I have read and agree

Do you grant Evergreen Heritage Center Foundation permission to take photos of your child during camp?

Yes
No

Photos will be used for marketing and promotional materials. This may include use on our social media platforms, flyers, and press releases.

Payment

Evergreen Heritage Center Foundation can be paid online or by check. Initial payments include a $40 non-refundable registration fee. This fee includes one t-shirt. Payments may be made in two installments. The first installment is required at the time of registration. If opting to pay in installments, a second payment must be made by May 15, 2025 (Young Naturalist) and June 15, 2025 (Sizzle & Stir).

Payment Options

One Week of Camp (Paid in Full) - $300.00
Two Weeks of Camp (Paid in Full) - $600.00
One Week of Camp (1/2 Payment) - $150.00
Two Weeks of Camp (1/2 Payment) - $300.00
Pay by Check - $0.00

Checks can be made payable to: Evergreen Heritage Center Foundation 101 Braddock Heights Frostburg, MD 21532-2345

Scholarship Code

Total

$0.00

PayPal Commerce

Card Number

Expiration Date

Security Code

Card Holder Name

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Contact Information

Emergency Contact Information

Camp Selection & Policies

Camp Policies

Payment

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