Summer Camp Registration Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Camper Name *FirstLastSchool *Birthdate *Grade Level *First GradeSecond GradeThird GradeFourth GradeFifth GradePlease enter the grade level your child will be in for the 2025-26 school year.Has the camper attended our summer camps before? *YesNoCamper t-shirt size *Youth SmallYouth MediumYouth LargeYouth X-LargeKnown AllergiesDoes your camper have any known allergies? Food, medications, etc. Daily MedicationsDoes your camper take any daily medications that we should know about?Camper's Doctor *Doctor's Phone *Contact InformationParent/Guardian Name *FirstLastPhone *Email *Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmergency Contact InformationPlease enter the name of the parent or guardian who should be contacted in the case of an emergency.Relationship *ParentSiblingRelativeFriendEmergency Contact Name *FirstLastPhone *Alternate Phone *Camp Selection & PoliciesEvergreen 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 - 27Sizzle & Stir Cooking Camp: July 14-18Camp PoliciesRead Our Policies Here: https://docs.google.com/document/d/1qqfggRqidXE1RIdZIIFL3vOZuxge06yitJZSZEw8JTM/edit?usp=sharingDo you agree to the Evergreen Heritage Center Foundation Summer Camp Policies? *I have read and agreeDo you grant Evergreen Heritage Center Foundation permission to take photos of your child during camp? *YesNoPhotos will be used for marketing and promotional materials. This may include use on our social media platforms, flyers, and press releases. PaymentEvergreen 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) - $300.00Two Weeks of Camp (Paid in Full) - $600.00One Week of Camp (1/2 Payment) - $150.00Two Weeks of Camp (1/2 Payment) - $300.00Pay by Check - $0.00Checks can be made payable to: Evergreen Heritage Center Foundation 101 Braddock Heights Frostburg, MD 21532-2345Scholarship Code Apply Total$0.00 Parent/Guardian size Camp PayPal CommercePayPal CheckoutCredit CardCard NumberExpiration DateSecurity CodeCard Holder NameSubmit
