Registration now open.

Please make sure you are a family level member before registering.

Summer Nature Program Registration

Summer, 2023

Please fill out the form below to register. Note that a child's first and last name is required. Be sure to enter the spam prevention code at the bottom of the form.

Please email SNPdirector@schiffnaturepreserve.org with any questions about registration. Please email Holly with payment questions.

PLEASE NOTE: this page will automatically refresh after 30 minutes and data will need to be re-entered in our effort to prevent over-booking.

Parent or Guardian Names (required):

Home Phone (required):

Cell Phone (required):

Street Address:

City:

State:

Zipcode

Preferred Email Address (required):

Please list emergency contacts for all children on this form

Emergency Contact Name:

Emergency Contact Primary Phone:

Emergency Contact Alternate Phone:

Emergency Contact Relationship to Child:

Alternate Pickup Name:

Alternate Pickup Phone:

Alternate Pickup Relationship to Children:

Child 1

First Name:

Last Name:

Age:

Date of Birth: (MM/DD/YYYY)

Gender:

Grade to be Entered in September:

My child's picture (ONLY - no names) may be used for publicity:

Does your child have:

Allergies
(Please list and describe item, reaction, and management of the reaction)

Chronic or Recurring Illness/Condition
(Please list and describe condition and management of the condition. Items include but are not limited to asthma, diabetes, seizures, etc.)

Medications
(Please list all medications taken routinely and reason for taking. Please note if any listed medications will be carried by the participant during Schiff's Summer Nature Program.)

Activity Restrictions/Modifications/Adaptations
(Please explain any restrictions to participating in activities the participant may have, be it behavioral, mental or physical. Please provide adaptation/modification needed for the restriction.)

Additional Information
(Please provide any additional information about the participant which Schiff Natural Lands Trust personnel should be aware of)

Parent Guardian Authorization

(This health history is correct and complete as far as I know, and the person herein described has permission to engage in all program activities except as noted. I hereby give my permission to the Schiff Summer Nature Program for participant's instructors to provide routine first aid and seek emergency medical treatment)

Signature of Parent or Guardian:

Choose class(es)

CLOSED Schiff Trail Mix (ages 6 - 13)
7/5-7/7 (Morning) $150
CLOSED Schiff Trail Mix (ages 6 - 13)
7/5-7/7 (Afternoon) $150
CLOSED Tales of Tails on Schiff’s Trails (ages 6 - 13)
7/10-7/14 (Morning) $250
CLOSED Tales of Tails on Schiff’s Trails (ages 6 - 13)
7/10-7/14 (Afternoon) $250
CLOSED Oh Deer... We’re 20! (ages 6 - 13)
7/17-7/21 (Morning) $250
CLOSED Oh Deer... We’re 20! (ages 6 - 13)
7/17-7/21 (Afternoon) $250
CLOSED Camouflage, Color & Colorings (ages 6 - 13)
7/24-7/28 (Morning) $250
CLOSED Camouflage, Color & Colorings (ages 6 - 13)
7/24-7/28 (Afternoon) $250
CLOSED Outdoor Adventures in Stewardship (ages 10 - 16)
7/5-7/7 (Afternoon) $250
CLOSED Artists of the Forest (ages 8 - 13)
7/10-7/14 (Afternoon) $250
CLOSED Into the Woods (ages 12 - 16)
7/17-7/21 (Afternoon) $250
CLOSED Nature’s Craft Closet (ages 8 - 13)
7/24-7/28 (Afternoon) $250

Child 2

First Name:

Last Name:

Age:

Date of Birth: (MM/DD/YYYY)

Gender:

Grade to be Entered in September:

My child's picture (ONLY - no names) may be used for publicity:

Does your child have:

Allergies
(Please list and describe item, reaction, and management of the reaction)

Chronic or Recurring Illness/Condition
(Please list and describe condition and management of the condition. Items include but are not limited to asthma, diabetes, seizures, etc.)

Medications
(Please list all medications taken routinely and reason for taking. Please note if any listed medications will be carried by the participant during Schiff's Summer Nature Program.)

Additional Information
(Please provide any additional information about the participant which Schiff Natural Lands Trust personnel should be aware of)

Parent Guardian Authorization

Signature of Parent or Guardian:

Choose class(es)

Child 3

First Name:

Last Name:

Age:

Date of Birth: (MM/DD/YYYY)

Gender:

Grade to be Entered in September:

My child's picture (ONLY - no names) may be used for publicity:

Does your child have:

Allergies
(Please list and describe item, reaction, and management of the reaction)

Chronic or Recurring Illness/Condition
(Please list and describe condition and management of the condition. Items include but are not limited to asthma, diabetes, seizures, etc.)

Medications
(Please list all medications taken routinely and reason for taking. Please note if any listed medications will be carried by the participant during Schiff's Summer Nature Program.)

Additional Information
(Please provide any additional information about the participant which Schiff Natural Lands Trust personnel should be aware of)

Parent Guardian Authorization

Signature of Parent or Guardian:

Choose class(es)

Child 4

First Name:

Last Name:

Age:

Date of Birth: (MM/DD/YYYY)

Gender:

Grade to be Entered in September:

My child's picture (ONLY - no names) may be used for publicity:

Does your child have:

Allergies
(Please list and describe item, reaction, and management of the reaction)

Chronic or Recurring Illness/Condition
(Please list and describe condition and management of the condition. Items include but are not limited to asthma, diabetes, seizures, etc.)

Medications
(Please list all medications taken routinely and reason for taking. Please note if any listed medications will be carried by the participant during Schiff's Summer Nature Program.)

Additional Information
(Please provide any additional information about the participant which Schiff Natural Lands Trust personnel should be aware of)

Parent Guardian Authorization

Signature of Parent or Guardian:

Choose class(es)

Child 5

First Name:

Last Name:

Age:

Date of Birth: (MM/DD/YYYY)

Gender:

Grade to be Entered in September:

My child's picture (ONLY - no names) may be used for publicity:

Does your child have:

Allergies
(Please list and describe item, reaction, and management of the reaction)

Chronic or Recurring Illness/Condition
(Please list and describe condition and management of the condition. Items include but are not limited to asthma, diabetes, seizures, etc.)

Medications
(Please list all medications taken routinely and reason for taking. Please note if any listed medications will be carried by the participant during Schiff's Summer Nature Program.)

Additional Information
(Please provide any additional information about the participant which Schiff Natural Lands Trust personnel should be aware of)

Parent Guardian Authorization

Signature of Parent or Guardian:

Choose class(es)

General Comments:

Are you a current member of Schiff Natural Lands Trust?

-Yes -No

How did you hear about the program:

If "Other" or "Friend", please specify:

Liability Waiver

As a condition of the consent of the Schiff Natural Lands Trust (the entity), for access by the above named person to the Schiff Nature Preserve (the location), the recipient and/or the parent/guardian of said minor person assumes full responsibility and all risk for any injuries or illnesses which said person might suffer or cause while at Schiff Nature Preserve or as a result of access to Schiff Nature Preserve, and does hereby waive any rights to recover against the Schiff Natural Lands Trust, or any persons acting on Schiff Natural Lands Trust's behalf, for any personal injuries, illnesses, or property damage that might occur while on or as a result of access to Schiff Nature Preserve. Each of the recipients hereby fully and knowingly releases the Schiff Natural Lands Trust Foundation, agents, contractors, employees, officers, directors, and/or trustees from any claims for any damage, loss, or injury including personal injuries, or illnesses which might occur.
I accept: -Yes -No

Each year, Schiff incurs over $1,000 in pay pal fees for our customers to have the convenience of using pay pal to donate or register for programs.

-Yes -No
Please help us to offset the fees by clicking above to add the additional amount of 3% and .20 for this registration.

To help us prevent spam, please enter "6837" here (required):

Summer Nature Program for Kids

Registration now open.

Please make sure you are a family level member before registering.

Summer Nature Program Registration

Summer, 2023

PLEASE NOTE: this page will automatically refresh after 30 minutes and data will need to be re-entered in our effort to prevent over-booking.

Child 1

Child 2

Child 3

Child 4

Child 5