Dyken Pond Environmental Education Center

On the Rensselaer Plateau

Please complete all information below. A separate page and PayPal payment must be completed for each additional child:

You must click on the "Continue" button at the bottom of this page to get to the PayPal payment page.

Thank you!

Child's First Name: Child's Last Name:

T-Shirt Size: T-Shirt Body Style:

Gender (choose one): Child's Age:

1st Camp Dates, age based (Choose one): Dates which are full will not be available to choose.

Camp Fees (Choose one):

Parent's First Name: Parent's Last Name:

Additional Parent's First Name (optional):

Additional Parent's Last Name (optional):

Address:

City: State: Zip:

Telephone: Email:

An additional $5 to process the OAC registration using PayPal
will be charged during checkout and appear as "Shipping and Handling".