Welcome to our Animal Exploration Summer Camp!
Please complete this registration form to secure your camper's spot. After submission, you will receive a link to complete the payment online.
Parent / Guardian Information:
Parent/Guardian Name
*
First Name
Last Name
Primary Phone #
*
Please enter a valid phone number.
Secondary Phone #
Please enter a valid phone number.
Email
*
example@example.com
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Participant Information
Camper(s) Attending
*
Emergency Contact
Emergency Contact?
*
Same as Parent/Guardian
Different than Parent Guardian
Emergency Contact Name
First Name
Last Name
Emergency Contact Relationship to Participant
Emergency Contact Phone #
Please enter a valid phone number.
Allergies / Medical Concerns
Please list all allergies (food, medication, environmental) and any medical conditions we should be aware of:
Allergies / Medical Concerns:
Special Needs or Accommodations
Please describe any special needs, accommodations, or additional information that will help us provide the best experience for your camper:
Special Needs or Accommodations
Pick-up Authorization
List all adults (besides parent/guardian) authorized to pick up your camper(s):
Persons Authorized to Pick-up child(ren)
Photo/Media Release
Please be advised that the Maui Humane Society may take photos and videos during camp activities. These images may be used in future promotional materials, including the society’s website and social media channels. If you have any questions or concerns, please contact the Education Program Manager at matay@mauihumanesociety.org
Photo / Media Release
*
I have read and agree to the media release.
I decline permission for the media release.
Medical Treatment Authorization
In the event of a medical emergency, if I cannot be reached, I authorize the staff of Maui Humane Society to obtain medical treatment for my child, including transportation to the nearest hospital if necessary.
Medical Treatment Authorization
*
I agree
I do not agree
Authorization for medical treatment:
Refund Policy
A full refund will be issued for cancellations requested by the close of business on Friday, May 2, 2025. After this date, partial refunds may be available for cancellations made by Friday, May 23, 2025, depending on the circumstances. No refunds will be issued for cancellations made after May 23, 2025.
I have read and understand the refund policy
*
Disclaimer for Camp Participants
Campers should expect to hear real stories from Maui Humane Society staff. This may include animals in various sensitive situations, from hoarding cases to neglect, injuries, veterinary care, and humane decision-making. These discussions are meant to educate, foster empathy, and encourage responsible animal stewardship and will be presented in an age-appropriate and respectful manner, with a focus on compassion and responsible pet care. Thank you for your support in helping us foster a love and respect for animals in our young explorers!
Parent / Guardian Signature
By signing below, I certify that all information provided is accurate and I agree to all policies listed above.
Parent / Guardian Signature
Coupon Code
# of registrants
$ Total
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