Summer Camp Registration 2014 - Early Special Rate Fill out the form below to register your child* and pay for Summer Adventures at Awbury Arboretum via credit card. You DO NOT need a PayPal account to complete payment - simply choose "Pay with a debit or credit card or Bill Me Later" after you click "Register" at the end of the registration process. * Registering multiple children? Please fill out a new form for each child. Step 1 of 2 - Parent/Guardian 0% Name*FirstLastAddress*Street AddressAddress Line 2CityState / Province / RegionZIP / Postal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayNorthern Mariana IslandsOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabweCountryPhone*Email*Awbury Arboretum Member?*YesNoHow did you find out about Summer Adventure Camp at Awbury?Awbury Ed Programs FlierNewspaper AdAwbury WebsiteWord of MouthOtherCamp session you would like to enroll your child in:*Camp Katniss (2 Weeks)Take Flight! (1 Week)Magic & Myth in the Enchanted Forest (1 Week)Any additional Camp session/s you would like to enroll your child in:Camp KatnissTake Flight!Magic & Myth in the Enchanted ForestIf you would like to enroll your child in multiple camp sessions, please select the other sessions here, and your full amount due will be totaled. Child's First NameChild's Last NameChild's Age as of June 16th 2014Child's Physician's NameChild's Physician's Phone NumberInsurance ProviderPolicy NumberAny Allergies?Is there anything special about your child's learning style or physical abilities that you would like to share with us?Please list who has permission to pick your child up:Emergency Contacts - Phone numbers and relation to child:Total $0.00>> Registration is NOT COMPLETE until payment has been received through PayPal >> You DO NOT need a PayPal account to complete payment - simply choose "Pay with a debit or credit card or Bill Me Later" after you click "Continue to PayPal" below. Registering multiple children? Please fill out a new form for each child.