Hildene/VINS Summer Camps REGISTRATION FORM _______________________________________________________________________ Parent/Guardian Name _______________________________________________________________________ Camper                                                                                       Grade (Fall) _______________________________________________________________________ Address _______________________________________________________________________ Town                                                                 State                   Zip   _______________________________________________________________________ Phone (Day)                                                      (Email) Camp Name                                                                              Date 1. _____________________________________________________________________ 2. _____________________________________________________________________ 3. _____________________________________________________________________ _______________________________________________________________________ Please Enclose Payment                                   (Amount) _______________________________________________________________________ Parent/Guardian Signature                                                       Date   Please mail to Hildene, Education Program PO Box 377, Manchester, VT 05254 Please make checks payable to: Hildene (802) 367-7965 email OR VINS, Camp Registrar, PO Box 1281, Quechee, VT 05059-1281 if you are registering for Earth Explorers Please make checks payable to “VINS.”