Registration Form
Camp Eureka! 2008
I wish to register my child for the following session:
___ Camp Eureka! Flathead Lake Biological Station, August 11-15, 2008
Camper Information
Name: ______________________________________________________
Gender: _____ male _____ female
Age on first day of camp: ______________
Grade in School next fall: ______________
School: ______________________________________________________
Parent/Guardian Information
Name(s):_____________________________________________________
__________________________________________________________
Mailing Address: ____________________________________________
City: _____________________________ State: ________ Zip:_________
Phone: (day) ____ - ______ - ______(Evening) ______ - ______ - ______
Cell Phone: __________ - __________ - ______________
Email:__________________________________________
Emergency contact: ________________ Phone: ______ - ______ - ______
Mail registration form to:
Camp Eureka!
Montana Conservation Science Institute
5200 Upper Miller Creek Road
Missoula, MT 59803