Carpenter St. Croix Valley Nature Center Summer Camps 2012

Registration Form

à YES! Please register my child(ren) for summer camps at CNC. (Complete the form below.)

Preschool Story Time $5.00 per child per day or $3 each for "Friends of CNC"

Fishing Fun (6 -11 yrs.) $30.00 per child or $20 for "Friends of CNC"

Moths (5 - 7 yrs.) $95.00 per child or $80 for "Friends of CNC"

Butterflies (8 – 11 yrs.) $165.00 per child or $145 for “Friends of CNC"

Total Camp $______________________

à YES! Please sign us up to be a "Friend of CNC".

As a "Friend," you will benefit from all the programs, facilities, and events the Nature Center has to offer. You will receive a number of incentives, special invitations, and recognition, as well as a complete deduction for your annual gift. For a complete description of the benefits associated with each donation category, call 651-437-4359. We appreciate your support!

$25 - Individual $50 - Family $100 - Donor $250 - Patron $500 - Benefactor $1,000 - St. Croix Society $3,000 - Eagle Society $5,000 - Directors Council

Testamentary commitments by will - The Thomas and Edna Carpenter Society

Total "Friends of CNC"$____________

à I enclose an additional donation to be used in support of the_____________________program.

Total Donation $___________________

TOTAL ENCLOSED $______________

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Adult Name(s)_________________________________________________________

Address_______________________________________________________________

City, State, Zip:________________________________________________________

Telephone: day___________________________evening_______________________

Email address:_________________________________________________________

Form of payment:

à Cash (in person only)

à Check (payable to CNC)

à Credit Card (Visa, Master Card)

Card#:_________________________________________exp.___________ 3 digit CVS______

Signature:__________________________________________________________________

Child's First Name

Last Name

Birthdate

Program

Cost ($)

Please mail completed registration & payment to:

Carpenter St. Croix Valley Nature Center, 12805 St. Croix Trail, Hastings, MN 55033

For questions, please call 651-437-4359 or visit www.CarpenterNatureCenter.org