DINO Adventure Day Camp

Indianapolis, IN - Horizon Camp Indy
Saturday, June 8, 2019
Check-in 8:30 - 9 AM; Activities 9 AM — 5:30 PM

For Ages 8-16

Entry Fee: $25 Additional children (same family) $20

Entry deadline Thursday, June 6

Number of children you are registering?*

Child Info

Must be 8-16
Gender:
T-Shirt Size:*
Please Rate interest / ability for each activity:
Please Rate interest / ability for each activity:
  Not Interested Interested but no skills. Interested and moderately skilled Interested and very skilled.
Mountain Biking
Outdoor Skills (Camping / Backpacking / First aid etc)
Climbing Wall / Zip Line
Paddling / Canoeing
Navigation / Orienteering
Please Rate interest / ability for each activity:

Second Child's Name

Must be 8-16
Second Child's Gender:
Second Child's T-Shirt Size:*
Second Child - Please Rate interest / ability for each activity:
Second Child - Please Rate interest / ability for each activity:
  Not Interested Interested but no skills. Interested and moderately skilled Interested and very skilled.
Mountain Biking
Outdoor Skills (Camping / Backpacking / First aid etc)
Climbing Wall / Zip Line
Paddling / Canoeing
Navigation / Orienteering
Please Rate interest / ability for each activity:

Third Child's Name

Must be 8-16
Third Child's Gender:
Third Child's T-Shirt Size:*
Third Child - Please Rate interest / ability for each activity:
Third Child - Please Rate interest / ability for each activity:
  Not Interested Interested but no skills. Interested and moderately skilled Interested and very skilled.
Mountain Biking
Outdoor Skills (Camping / Backpacking / First aid etc)
Climbing Wall / Zip Line
Paddling / Canoeing
Navigation / Orienteering
Please Rate interest / ability for each activity:

Fourth Child's Name

Must be 8-16
Fourth Child's Gender:
Fourth Child's T-Shirt Size:*
Fourth Child - Please Rate interest / ability for each activity:
Fourth Child - Please Rate interest / ability for each activity:
  Not Interested Interested but no skills. Interested and moderately skilled Interested and very skilled.
Mountain Biking
Outdoor Skills (Camping / Backpacking / First aid etc)
Climbing Wall / Zip Line
Paddling / Canoeing
Navigation / Orienteering
Please Rate interest / ability for each activity:

Fifth Child's Name

Must be 8-16
Fifth Child's Gender:
Fifth Child's T-Shirt Size:*
Fifth Child - Please Rate interest / ability for each activity:
Fifth Child - Please Rate interest / ability for each activity:
  Not Interested Interested but no skills. Interested and moderately skilled Interested and very skilled.
Mountain Biking
Outdoor Skills (Camping / Backpacking / First aid etc)
Climbing Wall / Zip Line
Paddling / Canoeing
Navigation / Orienteering
Please Rate interest / ability for each activity:

Parent Information

Address*

ALL PARTICIPANTS AND PARENT / GUARDIAN MUST SIGN BELOW- Please read before signing this waiver and release statement. In consideration of the acceptance of my entry, I for myself, any executors, administrators, and assignees, do hereby hold harmless all organizations, volunteers, individuals, businesses, sponsors, and government entities associated with the DINO Adventure Day Camp, directed by DINO LLC, for all claims, damages, actions, whatsoever in any manner arising or growing out of my participation in said event. I attest and verify that I am physically fit and sufficiently trained to participate in this event and assume all risk of participation.  Further, I hereby grant full permission of the foregoing to use my name and photographs of me participating in this event for any publicity or promotional purposes without obligation or liability to me.

This constitutes a release and waiver.

Use your mouse or finger to draw your signature above

Credit Card Information

Name
Address
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