Conservation Kid's Camp Registration

* Indicates required field

Child's Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Age on July 15th *

Allergies, Medical Information, ANYTHING ELSE we need to know about *

Child's t-shirt size *

PARENT/GUARDIAN INFORMATION

Parent/Emergency Contact *

First

Last

Email *

Phone Number *

Parent/Emergency Contact 2 *

First

Last

Phone Number 2 *

Liability Waiver *

Max file size: 20MB

Submit

Questions? Please contact McKenzie at (231)533-8363 x4 or mckenzie.fox@macd.org.

Antrim Conservation District

Your Land. Your Water. Your County.

Promoting the conservation, informed usage, and protection of Antrim County's natural resources since 1944.

4820 Stover Rd. Bellaire, MI 49615

Phone: 231-533-8363

Email: antrimcd@macd.org