Farm Camp Registration
Sign up one child per registration please
Camper's Name
First Name
Last Name
Camper's Date of Birth
-
Month
-
Day
Year
Date
Camper's Age
Select which regular session(s) your child is attending *Select all that apply
Week Long Session for 7-10 Year Old's Session 1 (July 8-11)
Week Long Focus Session on Livestock Care and Production for 7-10 Year Old's (July 15-18)
Week Long Focus Session for 7-10 Year Old's (July 22-25)
Select which Mini-Camp session(s) your child is attending *Select all that apply. Each session is $75/day
July 12
July 19
July 26
Name of Primary Parent or Guardian to Contact
First Name
Last Name
Relationship
Phone Number
Parent's Email
example@example.com
Name of Secondary Parent/Guardian to Contact
First Name
Last Name
Relationship
Phone Number
Parent's Email
example@example.com
Please list any allergies including food, bee or seasonal allergies. If none, leave blank
Is there anything else you'd like us to know about your camper?
Camper's T-Shirt Size
Youth XS
Youth S
Youth M
Youth L
Youth XL
Other
We expect photographers/media to attend summer camp. Do you give us permission to use your child(s) photo in promotional material?
Yes
No
Submit
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