Outreach Programs

Spring Break Virtual Earth Science Camp Registration Form
April 12 - 16, 2021

Cost: $60 per child

One form per camper is required.

Parent/Guardian Information

Emergency Contact (If different from Parent/Guardian)

Camper Information

Write "N/A" if no support is required.

Consent for Media Release

I give permission for my child:
- to be photographed
- to have their written or recorded expressed opinions quoted
- to have their name used

For the following purposes:
- in Mining Matters communication and/or promotional materials, print and digital versions
- on the Mining Matters website
- in Mining Matters training videos
- in media (newspaper, television, radio, etc.) reporting on Mining Matters

Please select from the below options regarding your consent for media release.

Optional Permission to Correspond

You will be redirected to the payment page to complete your registration.