Registration Parent/Guardian Name *FirstLastFamily Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeParent/Guardian Email *Family Home Phone *Now many campers will you be registering from your family?When you choose multiple campers per session, the 10% Second/Third Child Discount has been applied to the price in the cart. You can apply any applicable Early Bird Discounts when you checkout at the end of the registration process. How many campers are you registering? Registration Fee - One per camper per season $35 per camper *1 Camper2 Campers3 CampersThis registration/insurance fee is required for each camper once per season. This fee is non-refundable.Camper InformationPlease complete the following information for each camper you are registering. After you complete your registration you will be directed to the health information forms that are required for participation.Camper 1 Full Name *FirstLastCamper 1 Birthdate *MM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Camper 2 Full Name *FirstLastCamper 2 Birthdate 2 *MM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Camper 3 Full Name *FirstLastCamper 3 Birthdate *MM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Session Choices Choose which sessions you are registering for. If you are registering more than one camper the multi-child discount of 10% off the second and third child is already reflected in the cart. SESSION 1 July 8 - 18 9:30 - 3:30This is our traditional 9-day program. Children are grouped by age into Leaping Frogs, Running Deer, Laughing Coyotes, Trackers and Sr. Trackers.Session 1 July 8 - 18 9 Day session $6651 Camper2 Campers3 CampersnoneMonday- Friday July 8 - 12 Monday - Thursday July 15 - 18SESSIONS 2 and 3 are FOCUS WEEKS PLEASE CHOOSE THE FOCUS WEEK OPTION DESIRED. ONCE REGISTERED YOU WILL BE ASSIGNED TO THAT GROUP. YOU MUST CONTACT US TO MAKE ANY CHANGES TO THIS SCHEDULE.Session 2 July 22 - 25 Focus Week $295.001 Camper2 Campers3 CampersnoneSession 2 Focus Week Theme Options Please Choose Camper 1 Designing Nature/ Nature's Architects Ages 11 - 14Baskets & Bags Ages 7 - 10Gazillion Games Ages 11 - 14Forest Explorers Ages 7 - 10Leaping Frogs/ Beginning Naturalists Ages 4 - 6Session 2 Focus Week Theme Options Please Choose Camper # 2Designing Nature/Nature's Architects Ages 11 - 14Bags & Baskets Ages 7 - 10Gazillion Games Ages 11 - 14Forest Explorers Ages 7 - 10Leaping Frogs/ Beginning Naturalists Ages 4 - 6Session 2 Focus Week Theme Options Please Choose Camper # 3Designing Nature/Nature's Architects Ages 11 - 14Bags & Baskets Ages 7 - 10Gazillion Games Ages 11 - 14Forest Explorers Ages 7 - 10Leaping Frogs/Beginning Naturalists Ages 4 - 6 Session 3 July 29 - August 1 Focus Week $295.001 Camper2 Campers3 CampersnoneSession 3 Focus Week Theme Options Please Choose Camper # 1 Wandering/Pathfinders Ages 11 - 14Nature Makers/Tinkering Outside Ages 7 - 10Bags & Baskets Ages 10 - 14Camp Keziah/ Female Identified Campers ages 7 - 14Gazillion Games Ages 7 - 10Leaping Frogs/Beginning Naturalists Ages 4 - 6Session 3 Focus Week Theme Options Please Choose Camper # 2Wandering/Pathfinders Ages 11 - 14Nature Makers/Tinkering Outside Ages 7 - 10Bags & Baskets Ages 10 - 14Camp Keziah/Female Identified Campers Ages 7 - 14Gazillion Games Ages 7 - 10Leaping Frogs/Beginning Naturalists Ages 4 - 6Session 3 Focus Week Theme Options Please Choose Camper # 3Wandering/Pathfinders Ages 11 - 14Nature Makers/Tinkering Outside Ages 7 - 10Bags & Baskets Ages 10 - 14Camp Keziah/Female Identified Campers ages 7 - 14Gazillion Games Ages 7 - 10Leaping Frogs/Beginning Naturalists Ages 4 - 6Session 4 FREE SPIRIT FAVORITES August 5 - 15 9:30 - 3:30 This is our traditional 9-day program. Children are grouped by age into Leaping Frogs, Running Deer, Laughing Coyotes, Trackers and Sr. Trackers. As we celebrate our 30th Season we revisit our most favorite activities over the years. Tie-dye, animal masks, camouflage, Neversink, ..........Session 4 August 5 - 15 9 Day session $665 1 Camper2 Campers3 CampersMonday- Friday August 5 - 9 Monday - Thursday August 12 - 15Optional Van TransportationIf you want to register for van transportation please complete below. If you do not need transportation please skip to the next section.Do you need to register for Van Transportation?NoYes for One CamperYes for a family of campersVan Transportation Single Camper Per WeekOne week $85Two Weeks $170Three Weeks $255Four Weeks $340Five Weeks $425Six Weeks $510Please choose the number of weeks you need transportation for your camperVan Transportation Family Rate 2+ campersOne week $140Two Weeks $280Three Weeks $420Four Weeks $560Five Weeks $700Six Weeks $840Please choose the number of weeks you need transportation for your campers. This rate is for two or more campers from the same family. If you chose Van Transportation please check your pickup/dropoff locationWarwick - Railroad GreenFlorida -QuikCheck Goshen - Goshen PlazaOther - Contact usPlease choose your desired pickup and drop-off location. Extended Care Do you need extended care 8:00 - 9:30 / 3:30 - 5:30?NoYes Mornings OnlyYes Afternoons OnlyYes Both Mornings and AfternoonsSingle Camper or Family (2+ campers from same family)Single CamperFamily Morning Care per week $40 single childOne WeekTwo WeeksThree WeeksFour WeeksFive WeeksSix Weeks Morning Care per week $80 family 2+ children (discount with more weeks)One WeekTwo WeeksThree WeeksFour WeeksFive WeeksSix Weeks Afternoon Care per week $40 single child One WeekTwo WeeksThree WeeksFour WeeksFive WeeksSix Weeks Afternoon Care per week $80 family 2+ children (discount with more weeks) (copy)One WeekTwo WeeksThree WeeksFour WeeksFive WeeksSix Weeks Morning AND Afternoon Care per week Single Camper (discount with more weeks) One WeekTwo WeeksThree WeeksFour WeeksFive WeeksSix Weeks For Extended Care mornings AND afternoons 8:00m - 5:30pmMorning AND Afternoon Care per week $80 family 2+ children (discount with more weeks) One WeekTwo WeeksThree WeeksFour WeeksFive WeeksSix Weeks For Extended Care mornings AND afternoons 8:00m - 5:30pmScholarship FundWould you like to donate to our Scholarship Fund?Please enter the amount you would like to donate. Every summer we make camp available to kids who wouldn't be able to attend with the assistance. FSNC matches every dollar donated. We thank the generous Free Spirit Families who make camp possible for so many deserving campers. Complete your Registration and Proceed to the Payment PageBy clicking submit you are registering your children for the sessions chosen above. You will be taken to the payment page to arrange for payment of camp fees. We prefer a check mailed to the address provided on the next page. Instead of a mailed check you may request an invoice that can be paid via credit or debit card. Your child's spot in camp is not guaranteed unless a deposit is received within 7 days of this registration.Make sure to copy your total amount to carry over to the payment page,The total amount due will NOT carry over, you must enter it on the next page. A confirmation with the total due will also be sent to the Parent/Guardian email address entered above.Total Amount$ 0.00CommentRegister Now and take me to the Payment Page (write down the total due)