Reptile Wonders-The
2242 Snydersburg Road Westminster ,
Maryland 21157
(410) 374-0336
www.reptilewonders.com
Dear Parent:
This letter
is to register your scout _____________________________for the following
classes:
Please
check the box next to the Course and send this registration form back to
Reptile Wonders.
Please
make the check payable to Reptile Wonders.
Cost:
$45/course/scout/day and $85/two courses/scout/day (unless
otherwise stated).
October
October 06, 2012
q
9:00 am – 1:15 pm Forestry
q 2:00 pm – 6:15 pm Plant
Science
October 07, 2012
q
9:00 am – 1:15 pm Chess
q 2:00 pm –
6:15 pm Farm
Mechanics
October 08, 2012
q
9:00 am – 1:15 pm Insect Study
q 2:00 pm – 6:15 pm Nature
November
November 23, 2012
q
9:00 am – 1:15 pm Indian Lore
q 2:00 pm – 6:15 pm Mammal
Study
November 24, 2012
q
9:00 am – 5:30 pm Entrepreneurship*
November 25, 2012
q
9:00 am – 1:15 pm Reptile and
Amphibian Study
q 2:00 pm – 6:15 pm Geology
*The Home
Repairs and Entrepreneurship merit badge courses are $65
**The
First Aid merit badge course is $75
_____________________________________ ________________________
Parent/Guardian’s Name Phone Number
___________________________________ ________________________
Emergency Contact Name Phone Number
Cancellation Policy:
100% of Course payments will be refunded if 30 day or more prior notice
is given
to the start date of the program
If the notice of cancellation occurs within 29 days or
less to the date of the class,
then the payment will
become non-refundable.
Reptile Wonders-The
2242 Snydersburg Road Westminster , Maryland 21157
(410) 374-0336
www.reptilewonders.com
Dear Parent:
This letter
is to register your scout _____________________________for the following
classes:
Please
check the box next to the Course and send this registration form back to
Reptile Wonders.
Please
make the check payable to Reptile Wonders.
Cost:
$45/course/scout/day and $85/two courses/scout/day (unless
otherwise stated).
December
December 09, 2012
q
9:00 am – 1:15 pm Oceanography
q 2:00 pm – 6:15 pm Bird
Study
December 26, 2012
q
9:00 am – 1:15 pm Forestry
q 2:00 pm –
6:15 pm Fish
and Wildlife Management
December 27, 2012
q
9:00 am – 1:15 pm Animal Science
q 2:00 pm – 6:15 pm Farm
Mechanics
December 28, 2012
q
9:00 am – 1:15 pm Environmental
Science
q 2:00 pm – 6:15 pm Mammal
Study
December 29, 2012
q
9:00
am – 5:30 pm First
Aid**
December 30, 2012
q
9:00 am – 1:15 pm Soil and Water
Conservation
q 2:00 pm – 6:15 pm Weather
December 31, 2012
q
9:00 am – 5:30 pm Home Repairs*
January 2013
January 01, 2013
q
9:00 am – 5:30 pm Entrepreneurship*
*The Home
Repairs and Entrepreneurship merit badge courses are $65
**The
First Aid merit badge course is $75
_____________________________________ ________________________
Parent/Guardian’s Name Phone Number
___________________________________ ________________________
Emergency Contact Name Phone
Number
Cancellation Policy:
100% of Course payments will be refunded if 30 day or more prior notice
is given
to the start date
of the program
If the notice of cancellation occurs within 29 days or
less to the date of the class,
then the payment
will become non-refundable.
Allergy Form Emergency Contacts
Form
Scout’s Name: _________________________________ Date: ______________________
Dear Parent/Guardian,
Below is a list of items that might be served or used throughout today’s programs.
Please
circle the food items your child might be allergic to.
à
Dandelion Greens
à
Plantain (the plant, not the fruit)
à
Wood Sorrell
à
Apples
à
Country Time Lemonade (drink mix)
à
Hawaiian Punch (drink mixes)
à
Marshmallows
à
Candy
o
o
Snickers Candy
o
Twix Candy
o
Reese’s Peanut Butter Cups
o
Hershey Chocolate Bars
o
Jolly Ranchers Candy
o
StarBurst Candy
o
Dum-Dum Lollipops
o
Any others _________________________________________________________
à
Licorice Root – Forestry and
Plant Science only
à
Pop Weaver Microwave Popcorn or other brands of Microwavable Popcorn
à
Indian Corn
Not
to be ingested but touched and worked with - Bird Study,
Fish & Wildlife Mgmt, Forestry, Mammal Study and Nature, Plant Science only
o
Acorns (from Oak Trees)
o
o
Black Walnuts
o
Crisco (100% Vegetable Shortening)
o
Black Oil Sunflower Seeds
o
Corn Flour
o
Flax Seed
o
Nitrile Gloves
o
Latex Gloves
o
Playdough
Allergic to Bee or Wasp
Stings ? [ ] yes [
] No [ ] Unknown
If the answer is yes above…does your
scout carry and know how to use an epi-pen?
[
] Yes [ ] No
Please
Indicate Below if your child has any additional food or otherwise related
medical allergies or special learning considerations we should be aware of to
better cater to their needs.
I have read and indicated all of my child’s food or otherwise related medical allergies. Initials____________
Emergency
Contact #1 Name:
_________________________________ Phone #________________
Emergency
Contact #2 Name: _________________________________
Phone #________________