Day Camp Schedule and Registration

An afternoon snack is provided in all of our programs.

Note: Exceptions can be made for siblings in different grades to attend on the same day for all After School programs.

All events are located at: Chintimini Wildlife Center Education Yurt, 311 NW Lewisburg Rd, Corvallis. See map and directions.

 
Contact Ronda at youth@chintiminiwildlife.org or 541-609-8990 for information.
 
Register and Pay Online

Child's Name 1: Child's Age 1:
Child's Name 2: Child's Age 2:
Child's Name 3: Child's Age 3:
Child's Name 4: Child's Age 4:
Parent/Guardian Name:
Address 1:
Address 2:
City:
State/Province:
ZIP/postal code:
E-mail address:
Work Phone
(with area code):
Home Phone
(with area code):
Cell Phone
(with area code):
Emergency Contact & Phone:
2017 Day Camps
Raptors
February 3, 2017
$50 - Bring sack lunch.
February 3, 9am - 4pm
Call 541-609-8990 or email Ronda to arrange (optional) pre/post child care, $5 an hour per child

Nature Detectives
April 12, 2017
$50 - Bring sack lunch.
April 12, 2017, 9am - 4pm
Call 541-609-8990 or email Ronda to arrange (optional) pre/post child care, $5 an hour per child

Wilderness Basics
April 13, 2017
$50 - Bring sack lunch.
April 13, 2017, 9am - 4pm
Call 541-609-8990 or email Ronda to arrange (optional) pre/post child care, $5 an hour per child

Wetland Wilds
April 14, 2017
$50 - Bring sack lunch.
April 14, 2017, 9am - 4pm
Call 541-609-8990 or email Ronda to arrange (optional) pre/post child care, $5 an hour per child

Total Fees
$0.00
Write down this amount!
Payment Method
Submit this form. Follow instructions for either method.
Paypal    By check
Allergies/Medical Information/Additional Information (on campers):
Authorized By (Represents your signature):
I give CWC permission to include my child in photographs that may be used in brochures, newsletters and other media. Yes    No

By submitting this application, I hereby certify that I am the legal parent or guardian of the child. I understand and assume the risks of participation in this program. For myself, my heirs, and assigns, I agree to waive, release, and forever discharge any claim for injury or damage, and hold harmless Chintimini Wildlife Center (CWC), its officers, agents, volunteers, and employees against any claim, loss, liability, or expense, including attorney's fees, resulting directly/indirectly from participation. I also give CWC permission to use photographs of participant(s) in marketing and media brochures, newsletters, and website.

Pay online by credit card through PayPal after you Submit this form (or you can mail us a personal check).