Welcome to BEan In Nature Summer Camp Registration 2019!

Please complete one form per child for Program Registration.

If you have questions or concerns please contact marisa@beaninnature.com

EARLY BIRD DEPOSIT OPTION! Would you like to catch the EARLY BIRD SPECIAL but need more time to pay? You can do this today by enrolling your child/ren and paying the $100 camp deposit today. Before April 1st you will then pay the balance on your camp EARLY BIRD price. Please know this EARLY BIRD deposit of $100 is non refundable.

CLICK HERE FOR SCHEDULE, TIMES, DATES AND PRICING

Refer a new friend or family to Bean In Nature and receive a Referral Reward! Click here for details

Marisa 408-930-8201

Select Summer Camp Below

Payment options are at the end of the form.

Teen/Junior Mentor/Teen Assistant/Intern

May 18; ages 10 and up; Mentorship 1 DAY TRAINING CAMP; Huddart Park, Woodside

June 10-14; Soquel Wilderness Camp; 6 - 12 years old; 10:00-2:30 pm;Soquel

June 24-29; GIRLS AGES 5 1/2-12 years; Girls Ancestral Survival Fairy Camp; Anderson Lake, Morgan Hill ; 9:00-3:30

July 8-12- cancelled

July 8-12- Cancelled

FULL July 15-19-ages 5 1/2 -9 years Wilderness Survival Skills 9:00am - 3:30pm Stevens Creek Park

July FULL 15-19-9-12 years

July 22-26; ages 5 1/2 -9 years Wilderness Survival Skills 9:00am - 3:30pm Huddart Park, Woodside

July 22-26; ages 9-14 years; Ancestral Survival Skills 9:00am - 3:30pm Huddart Park, Woodside

July 29-Aug 2; GIRLS ages 5 1/2 -15 years; Girls Ancestral Survival Fairy Camp; 9:00am-3:30pm Huddart Park, Woodside

July 29-Aug 2; Co-ed ages 6-13 years; Ancestral Survival Camp 9:00am-3:30pm; Huddart Park, Woodside

How did you hear about our programs? *

Full Name of Friend who referred you

First Participant/Student Information

Participant First Name *

Last Name *

Birth Date * +

Female/male *

Age at start of program *

Household / Adult Primary Contact

Relationship to Participant: *

Mother

Father

Guardian

Other Other

Parent/Guardian Name *

Parent/Guardian Last Name *

Primary Phone Contact

Primary Phone *

Primary phone is *

Secondary Phone Contact

Secondary Phone *

Secondary phone is *

Email Address *

Address 1 *

Address 2

City *

Zip *

Emergency Contact #1

Emergency Contact First Name *

Last Name *

Phone Number *

Emergency Contact #2

Emergency Contact First Name *

Last Name *

Phone Number *

People authorized to pick up your child(ren)

Pick up person First Name

Last Name

Phone Number

First Name

Last Name

Phone Number