Stewards of Earth Nature Camp Registration
June 23-27, 2003   9am to 1pm  
MREC 100 Main St. Athol 978-249-9491

Child's name___________________________________age__
Parents_____________________________________________
Address____________________________________________
Telephones_________________________________________
Emergency Contact__________________________________
Hospital of choice & Dr. _____________________________
Allergies/Meds/Concerns____________________________________
_____________________________________________
Previous Camp/Outdoors Experience/Interests:
__write on back
circle one:
Fee $50.00/week enclosed  or Camp Scholarship: partial/full

In the event of an emergency I authorize Camp and Volunteer personnel 
to administer first aid to my child or transport to a hospital
Hospital name  ____________________________________. 
Signed,_____________________________date____

*************************cut here*****************************
Check payable to: 
Athol Bird and Nature Club or ABNC
Mail registration and fee or request for payment to: 
Clare Green, 71 Athol Rd. Warwick Ma. 01378
Questions? call Clare at 978-544-7421

June 23-27, 2003   9am to 1pm  MREC 100 Main St. Athol                                            978-249-9491  www.mrec-athol.org
*Director Clare Green and Assistant Todd Weed
**Bring 2 snacks and lunch, sunscreen, sunhat etc. with all items 
labeled with your name.  
***Program includes: Nature awareness/appreciation games, songs, 
4 elements creative movements, native lore storytellings,  
explorations, caring for the earth, herbal treats, journaling 
and more.Wed. is field trip to Tom Ricardi's Rehabilitation 
Center of Live Birds of Prey, Conway. Please indicate if you 
are available to drive.  Mon, Tu. and Th. Potter Kerry Stone 
will join us for nature creations in clay. We all look forward 
to an exciting nature camp week of making new friends, caring 
for the earth and exploring new horizons.