2007 Astronomy & Rocketry Summer Camp Registration
Morgan County Observatory Foundation
2007 Astronomy & Rocketry Summer Camp Registration Form
Last Name:____________________ First Name:________________ MI: ___
Street: __________________ City:_______________ State:____ Zip: ____
Phone:________________ Gender:_____ Birthdate:___________ Age:______
Parent/Guardian’s Name:________________________ Phone:_____________
Emergency Phone & name:_________________________________________
Who will be providing transportation:__________________________________
Time: 9AM to 12:30PM at Morgan County Observatory
Desired week of attendance:_______August 6-10 ________August 13-17
Cost: $80 per week, per child with $20 deposit due with registration. $20 discount for multiple siblings. Scholarships may become available pending future grant receipts
Children must be 8 years of age or older.
Please make check payable to MCOF or Morgan County Observatory Foundation and send to MCOF, 81 Sparrow Trail, Berkeley Springs, WV. 25411.
This is a one week camp repeated over the second week, not a continuous two week program. Children may attend both weeks, but there will be some repetition of content. Space is limited.
I grant permission for my child to participate in all activities of this camp and assume all risks and hazards incidental to such participation, including transportation to and from such activities, and I do hold harmless the Morgan County Observatory Foundation, Morgan County Schools, and any and all volunteers, staff and organizers for any claims arising out of injury to my child except to the extent and in the amount covered by the accident or liability insurance carried by such persons.
I further grant permission for emergency first aid to be given to my child in case of injury. If deemed necessary, I grant permission for my child to be taken to the emergency room of a nearby hospital, and the hospital and it’s staff have my authorization to provide treatment which a physician deems reasonably necessary for the well being of my child.
Date:________________ Amount Due:_____________ Amount Paid:____________
Any questions, call 304-258-1013
This Page Last Updated - July 4, 2006