EmailMe Form - Pioneer Day Camp Registration Form

Number of campers (children)
1
2
3
Please provide a full name and age for each camper

Camper 1

Camper 2

Camper 3

Please include First and Last Names of each child and include ages.
Example: Alex Smith, 10
Do any of the campers have any known allergies?
Yes
No
Please specify
Have any of the campers attended camp at the museum before?
Yes
No
Parent/Guardian Contact Information
Please enter the name of the parent or guardian who should be contacted in the case of an emergency.
Name *
First Last
Relationship *
Phone *
### - ### - ####
Email
Would you like to volunteer?
Yes
No
Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Payment: How will you pay? *
Cash/Check
Credit Card
PayPal
I would like to apply for financial aid
Mail checks to Bosque Museum | PO Box 345 | Clifton, TX 76634
You can return to the previous page to pay with PayPal or visit the museum or call (254) 675-3845 to use a CC over the phone.
Questions or Comments