Public Hours

Saturdays 1-5 p.m.
School/Tour groups
by appointment only

Admission Prices

Adults: $6

Children (4-12): $3.50

Seniors (55+): $3.50

Children 3 & under are admitted free

All major credit cards accepted

Dates and further details regarding the 2013 Science Camp will be posted in May 2013. If you have further questions, please contact the museum office.

Camps Registration Form

All fields marked with an * are required

Child's Name:*

Child's Age:*

Child's Birthdate:*

Grade (entering):*

School District/
Homeschool:*

Parent or Guardian's Name:*

Street Address:*

City:*

State:*

Zip:*

Home Telephone:*

Cell Telephone:

Insurance Information:

Insurance Co:

Policy #:

Work Telephone:

Email Address:

No Email Address

If not available in an emergency, please notify the following person:

Name:*

Phone:*

Relationship:*

Please check the camp your child will be attending:

How did you hear about our camp? Check as many as apply

	Word of Mouth	Email Notice
	Magazine/Newspaper	Curator Club
	Web Site	Facebook
	Museum Visit	Mechanicsburg Rec
Other:

Photo Permission

I give permission for my child's photograph to be taken during Summer Camp activities. I understand the photographs may be used in the Oakes Museum of Natural History newsletter, for staff professional portfolios, or in promotional materials, which may include our web site or social networking.

Yes No

Parent Signature:*

Date:

Permission to Pick Up Your Child

At the end of Summer Camp we will only release your child to those who may pick up your child. I authorize the following individuals to pick up my child from the Oakes Museum Summer Camps.

Name:

Phone:

Relationship:

Parent Signature:

Date:

If you need to make arrangements for another person to pick up your child during Summer Camp sessions, please provide us with a written and signed note of permission.

Payment must be made in advance and received at least 14 days prior to the start of camp to hold the registration. Credit card payments may be made during Saturday public hours from 1PM to 5 PM. We accept Visa, MasterCard, and American Express. Checks may be mailed to

The Oakes Museum of Natural History
Messiah College
Box 3029 One College Ave.
Grantham, Pa 17027
Attn: Summer Camp Cancellations of camp registration must be done at least 14 days in advance of the camp start date in order to receive a refund equal to the cost of the camp minus a $25 service fee per person, per program. Cancellations not made 14 days in advance will not receive a refund.

The Oakes Museum of Natural History reserves the right to cancel any program two weeks before it begins. All registered participants will receive a full refund.

Medical Information

The child named above has my permission to participate in the designated Messiah College/Oakes Museum summer camp. I certify that my child is fully able to participate. I release Messiah College/Oakes Museum, its employees, agents offices and volunteers from all liability, claim, expenses and actions which may arise from injury or harm to the child as a result of camp participation. In the event of a medical emergency, I authorize Messiah College/Oakes Museum to designate a hospital, physician or emergency personnel to provide care (including hospitalization, if necessary) to the child and release Messiah College/Oakes Museum from any liability for injury or harm which to the child which may result from this medical care. I understand that responsibility for payment of such care medical care will be mine and certify that the child is covered by adequate medical care.

Parent or Guardian Signature:*
Family Doctor:*
Phone:*
Preferred Hospital:*	Holy Spirit Harrisburg
Drug Sensitivities/Allergies:	No Yes
If yes, describe:
Epi-pen:
Does your child require an epi pen to treat an allergy?	No Yes
Will your child bring the epi-pen to camp?	No Yes
I give my child permission to self administer the above listed prescription medication.	No Yes
Parent or Guardian Signature:

Asthma:
Does your child use an inhaler for asthma?	No Yes
Will your child bring the inhaler to camp?	No Yes
I give my child permission to self administer the above listed prescription medication.	No Yes
Parent or Guardian Signature:

Other Pre-existing Conditions:
Does your child have any injuries or conditions including diabetes, epilepsy, etc. that presently exist that would limit him/her from camp activities?	No Yes
If yes, please describe:

Non Prescription Medications:
Please list the medications:
I give my child permission to self administer the above listed non prescription medication.	No Yes
Parent or Guardian Signature:
My child is aware that they may not share any medication with other campers.	No Yes
Parent or Guardian Signature:

All medication brought to camp must be labeled. All medication will be held by the camper. The Oakes Museum of Natural History is not responsible to store any medication.


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