June 25
th
-29
th
8:30am -11:30am
LSU AgCenter Botanic Gardens
4560 Essen Lane, Baton Rouge LA, 70809
Students entering 2
nd
through 5
th
grade.
Limited to 30 participants. $60 per participant
Join us for a week of exploring nature! Participants will enjoy interacting with nature through a series
of games, arts and crafts, ziplining, science experiments, fishing, hiking and more!
Drop off is between 8:00 and 8:30am with activities starting promptly at 8:30am. Students must be
picked up by 12:00pm. Parents or guardian will sign participants in and out daily.
Snacks and water will be provided each day during the nature camp. Lunch will not be provided.
Participants must wear sunscreen, comfortable clothes that can get dirty and closed toe shoes.
To join, simply fill out the form below and return it with your payment to the LSU AgCenter Botanic
Gardens c/o Kiki Fontenot. Make checks payable to LSU AgCenter Botanic Gardens. Space is limited,
and payment must be received to confirm registration.
Participant Name______________________________________________________________________
Grade Level as of the 2018-19 School Year _____________________ Gender ______________________
Parent(s) Name _______________________________________________________________________
Parent Telephone Number __________________ Parent Email Address __________________________
Emergency Contact Name _______________________________________________________________
Emergency Contact Phone Number _______________________________________________________
Name of Health Insurance and Member Number
_____________________________________________________________________________________
Participant's Pediatrician Name ___________________________Phone Number __________________
Participant's Allergies or Health Limitations (Please List or Write None)
_____________________________________________________________________________________
_____________________________________________________________________________________
My child can be photographed for publicity purposes such as social media, newspaper, or other news
related articles: YES NO
