2008 Des Moines County Conservation Day Camps Registration Form
Please Use One Form Per Child
- Do Not Put More Than One Child Per Form
Registration opens at 5:00 p.m. on Tuesday, April
24, at Starr’s Cave Nature Center.
If you are unable to register at
that time, mail this form and your check to:
Starr's Cave Nature Center, 11627 Starr’s Cave Road, Burlington IA
52601
Child's Name:
Child's Age:
Birth date:
Address:
City:
State:
Zip Code:
Daytime Phone:
Parents Name:
Camp Name (First Choice):
Date of Camp:
Camp Name (Second Choice):
Date of Camp:
Fee:
(make checks payable to Partners for Conservation)