Registration for Otter Adventures Your Name * First Name Last Name Email * Phone * (###) ### #### Child's Name First Name Last Name Home Address Child's preferred gender Child's Birthday Please describe your child's health Dietary/restrictions/sensitivities/allergies and degree of severity, reactions, etc Alternative Emergency Contact Information Please describe your child's relationship to nature and the outdoors: What is your child's history with overnights? What should I know about their bedtime routine/sleeping habits? Consider their personality traits, their strengths, and their challenges. What should I know about this young person to help them have the best experience possible? I respectfully request your consent to use participant photographs on my website YES/NO Preferred payment plan Full payment save $95 ($1,150) 3 payments ($415 down payment/$415 by Oct. 15/$415 by Nov. 15) Thank you!