April 6-10, 2009 Camp will run from 9 am – 4 pm.
Cost: $50/week (Scholarships available – please call for information)
With extended hours from 8 am – 9 am and 4 pm – 5 pm
Cost for extended hours $5/hour plus $10 late fee after 5pm
BRING YOUR OWN LUNCH Healthy Snack provided
Felts Audubon Preserve in Palmetto (
corner of 24th Ave. East & Experimental Farm Rd.)Call Karen Fraley (941) 794-8773 phone/fax or (941) 704-4325 field phone
Checks payable to: Around the Bend Nature Tours
1815 Palma Sola Boulevard, Bradenton, FL 34209
Please complete in Black Ink Return this portion for registration
Camper’s name________________________________ Registration date__________
Camper’s birthdate ________________ Age _________ Amount Paid _____________
Mother’s Name ______________________ Father’s Name ______________________
Street Address ____________________________City ________________Zip _______
Home Phone __________________ Pager _______________ Cell ________________
Mother’s Place of Employment ___________________________Phone_____________
Street Address ____________________________City ________________Zip _______
Father’s Place of Employment ___________________________Phone_____________
Street Address ____________________________City ________________Zip _______
Alternative Emergency Contacts
Name_____________________________Relation______________Phone__________
Name_____________________________Relation______________Phone__________
Camper’s Allergies
(include insect bites) _______________________________________In an emergency requiring medical attention, I authorize the representative
of Around the Bend Nature Tours to
obtain and give consent to the administration for whatever medical treatment is
deemed necessary.
I do hereby release Around the Bend Nature Tours from any and all claims that
may arise from said
representatives obtaining and consenting to medical treatment. I also authorize
minor first aid as needed for my child.
Parent Signature_________________________________________Date___________