Second Annual Kansas Wildlife Federation Day Camp at TimberRidge Adventure Center

Application for the Kansas Wildlife Federation
 Day Camp at TimberRidge Adventure Center, June 11^th, 2014,

                               for boys & girls (10-12 years old)

                                   

Please return this form with a $25 check made payable to “Kansas Wildlife Federation” to the following address:

Ted Beringer, Kansas Wildlife Federation

15313 W. 80^th Terrace

Lenexa, KS 66219

Please send the application fee no later than May 21^st.  A receipt will be sent to your email address. A full refund will be returned to you if I receive your notice of cancellation on June 9t^h or before. However, the fee will not be reduced if your child is late for the event or must depart early. The Day Camp begins promptly at 9 am.

Please provide the following information:

Name of parent or guardian attesting that the boy or girl is 10-12 years old:

 ________________________________________________________________

Phone number(s) of parent or guardian: ________________________________________________________________

Name of boy: ________________________________________________________________

Name of girl: ________________________________________________________________         

I will also be sending you a Liability Waiver form and a Medical Care form that must be signed and returned. Your email address will make these documents easier to send. We will not share your email! ___________________________________________

The TimberRidge Adventure Center is located at:

12300 S. Homestead Ln, Olathe, KS 66061

To learn more about the TimberRidge Adventure Center, visit:

http://jcprd.com/parks_facilities/timberridge.cfm

If you need more information contact Ted Beringer

Northeast Kansas Director, Kansas Wildlife Federation

phone: 913-484-0109; email <tberinger65020@everestkc.net>

To learn more about the Kansas Wildlife Federation, visit:

http://www.kswildlife.org/

What to bring: hat, sunscreen, sunglasses, insect repellent, water bottle, sack lunch.

The electronic copy of this application is at: http://kwfnews.blogspot.com/2014/03/second-annual-kansas-wildlife.html