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Bailey's Nature Buddies Registration

June 9th, 10th, and 11th from 9 am - 11 am

Registration is for all 3 days

(Bailey's Nature Buddies has a capacity of 10 children)

Please complete one registration per child

Registration due June 1st

Child's First Name

Child's Last Name

Age

This camp is for ages 3 - 5 ONLY

If you need a camp for ages 6-11 checkout our Bailey's Budding Naturalists camp.

Parent/Guardian's Name

Address

Parent/Guardian's Phone Number

Parent/Guardian's Email

Emergency Contact Name

Emergency Contact Phone Number

Child's Allergies, Medical Conditions, and Any Physical or Environmental Accommodations (if none please reply N/A)

Please select the days your child will attend. (Note: Registration and payment cover all three days. Fee remains the same regardless of attendance)

All Three Days

Tuesday, June 9th

Wednesday, June 10th

Thursday, June 11th

It is required for kids to be prepared with sunblock, pest repellent, a hat, and a water bottle for each day. Children will most likely be messier than when they arrived.

Submitting this form will redirect you to the checkout page. Online payments are accepted through PayPal only. If you prefer to pay offline, please select the offline payment option at checkout and call the museum at (269) 637-3251 to arrange your payment.

Payment Per Child

$45

Scholarships are available

Signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Date

Permission to Photograph

I grant the Liberty Hyde Bailey Museum permission to take photographs of my child, my family, and/or myself in connection with the Bailey's Nature Buddies event. I authorize the Liberty Hyde Bailey Museum & Gardens, its assigns and transferees, to copyright, use and publish the same in print and/or electronically. I agree that the Liberty Hyde Bailey Museum & Gardens may use such photographs of my child, my family, and/or myself with without my/their name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and web content.

I have read, understand, and give permission to photograph.

If you have any questions, please contact the Liberty Hyde Bailey Museum by phone (269) 637-3251 or by email at info@libertyhydebailey.org