Registration Form (pdf) - Scioto Soil and Water Conservation District

Lakes, stars, parks, snakes, outdoor skills,
Join kids from across the region as we
explore nature through Conservation
Science Investigations!
CSI: Shawnee is a hands-on event organized by Camp Oyo, Shawnee State Park, OSU
Extension and your local Soil and Water Conservation Districts. Grants will help reduce
the cost and each camper will be responsible for just $30.00 to attend!
Our overnight camp takes place at BSA Camp Oyo and Shawnee State Park in beautiful
Scioto County. Students that have completed 5th, 6th or 7th grades are eligible to attend.
TO REGISTER: Complete the information below, detach, and mail to the address
provided. Preference will be given to registrations received by May 9, 2014.
Do NOT send the camp fee now. Upon receipt, the office will contact you with additional registration/
release forms and payment will be due at that time. If you have questions, please contact the Scioto Soil
and Water Conservation District at 740-259-9231.
Child’s Name: _____________________________________
Grade Level Completed: ____________
Mailing Address: __________________________________________________________________________
Phone Number: _______________________________
County of Residence: ____________________
Email: ____________________________________________ ______________________________________
T-Shirt Size (please circle): Youth Size? S M L XL
Adult Size? S M L XL
Parent/Guardian Signature: _________________________________________________________________
Student attended CSI: Shawnee in July, 2013:
Detach and return to: 2013 CSI: Shawnee, c/o Scioto SWCD, 12167A State Route 104, Lucasville OH 45648