Archaeology Camp Please enable JavaScript in your browser to complete this form.Child's Name *FirstLastChild's Date of Birth *Gender *MaleFemaleParent's Name *Address *Telephone number *Email *School *Please check which camp you wish to attend *Archeology Day Camp (age 6-8) July 29-30 at Ferry Farm $50Archeology Camp (age 9-12) July 13-17 at Ferry Farm $125Contact Person During Camp Week *Relationship to camper *Contact telephone number *Contact Cell Phone *Have or Subject to: *AsthmaSeizuresBee sting allergyNone of the aboveFood or other allergies (please specify):Any significant medical condition we should know about? Any restictions from activities?Any accomodations needed by camper? I agree with the Photo Release for my camper. *YesNoI hereby give Archeology Camp the absolute right and permission to publish, copyright, and use pictures of my child in which he/she may be included in whole or in part, composite or retouched in character or form. I understand that signing this release does not guarantee publication of a photo. Digital Signature *The parties agree that electronic signatures will be permitted under the provisions of the Virginia Uniform Electronic Transactions Act, Va. Code § 59.1-479 et seq. Please digitally sign. Please list any other restrictions on photography:The following persons are authorized to pick up the camper. (ID will be checked at pick up) Name/Relationship/Cell # Name/Relationship/Cell # Name/Relationship/Cell #How did you hear about this camp?I certify that all statements made by me on this application are true and complete to the best of my knowledge. My camper has permission to engage in all activities. *I acknowledge that I have read the above statement and understand the same.Digital Signature *The parties agree that electronic signatures will be permitted under the provisions of the Virginia Uniform Electronic Transactions Act, Va. Code § 59.1-479 et seq. Please digitally sign. CommentSubmit