EcoVentures
1901 New Jersey Ave, North Wildwood, NJ 08260
Phone: 609.742.5656
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ECOVENTURES ADVENTURE PROGRAMS
REGISTRATION FORM
*=Required
*Parent's First Name:
   *Parent's Last Name:
*Billing Address:
*City:
*State:
*Zip:
*Mobile Number (no dashes or spaces):
*E-mail Address:
Please enter the first and last name for each child attending EcoVentures:
(1st Child)
*Child's First Name:
*Child's Last Name:
*Age:
*Dates Attending:
  • I want to purchase an EcoVentures Adventure T-Shirt* ($10/shirt): Yes No
    * Add Lunch Option    Yes     No
    *You will receive your t-shirt on the first day of programs
    For This Child?
    (We Provide a cheese
    Pizza Lunch for $3/day)

    (Additional Child)
    Child's First Name:
    Child's Last Name:
    Age:
    Dates Attending:
  • I want to purchase an EcoVentures Adventure T-Shirt* ($10/shirt): Yes No
    Add Lunch Option    Yes     No
    *You will receive your t-shirt on the first day of programs
    For This Child?
    (We Provide a cheese
    Pizza Lunch for $3/day)

    (Additional Child)
    Child's First Name:
    Child's Last Name:
    Age:
    Dates Attending:
  • I want to purchase an EcoVentures Adventure T-Shirt* ($10/shirt): Yes No
    Add Lunch Option    Yes     No
    *You will receive your t-shirt on the first day of programs
    For This Child?
    (We Provide a cheese
    Pizza Lunch for $3/day)

    CAMP REGISTRATION FEES:
    1 DAY: $59
    2 DAYS: $115
    3 DAYS: $165
    4 DAYS: $215
    5 DAYS: $260
    CAMP REGISTRATION TOTAL: $  
    T-SHIRT TOTAL: $  
    LUNCH TOTAL: $  
    TOTAL AMOUNT DUE: $  
    *Method of Payment:
    INITIAL HERE:
    *I authorize EcoVentures LLC to charge my credit card …OR will pay cash:   Yes    
    *I agree to the photo release policy:   Yes     No
    *I agree to the terms and conditions of EcoVentures:    Yes
    SPECIAL NOTES:
    © 2017 EcoVentures - All rights reserved. Designed by: Osprey Interactive Media - SEO
    EcoVentures
    1901 New Jersey Ave, North Wildwood, NJ 08260
    Phone: 609.742.5656
    Email: info@EcoVenturesUS.com