Exordium Adventure

Exordium Registration Form
Camp Selection
Camper's Name	First	Last	Age
Address
Phone #'s	Home	Work
Email Address
Allergies or Health Concerns
Emergency Contact Infgormation
Parent/Guardian(s)
Phone Numbers (if different then above)
Volunteer Info In order to continue the great fun and success of the camp we encourage all parents or guardians to volunteer at least one day if possible. If you are able, please provide your contact info and preferred days.

Photo Release We take photos for publicizing Exordium and our programs. Your approval below indicates that you are in agreement with your child’s image published in Publicity materials such as program brochures, flyers, reports and web pages.
Please make check payable to "Exordium Inc" and mail to; Exordium Inc. 754 Rice Hill Road, Franklin, VT 05457

Sun Feb 12th
Professional Development
Mr.K

Mon Feb 13th
PB Curr'lum
Alburgh Elem

Wed Feb 15th
Nature Courses
Homeschoolers

Sat Feb 18th
Adaptations
Haston Library

Sat Feb 18th
Snow & More
H'gate Library

Tue Feb 21st
Nature Courses
North Hero

Tue Feb 21st
PB Curr'lum
North Hero Elem

It is untrue that equality is a law of nature. Nature has no equality its sovereign law is subordination and dependence – Vauvenargues

754 Rice Hill Road • Franklin • VT • 05457
Phone 802.238.3697 or 802.285.2025
Email MrK@exordium-adventure.com

Exordium Registration Form