Farm Friends The Camp

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Emergency Contact #1
Emergency Contacts/Authorized Pickup

Parents cannot be listed as emergency contacts. List the name of at least one person who can be contacted in the event of an emergency or illness if you cannot be reached. Any person listed should be able to assist in contacting you. At least one person listed must be within one hour of the center/home, able to take responsibility for the child in case the parent/guardian cannot be contacted and should be at least 18 years of age. The first emergency contact must live no more than 1 hour away and be over the age of 18.
Full Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Phone Number*
Format: (000) 000-0000.
Secondary Phone Number
Format: (000) 000-0000.
Relationship to Child*
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Emergency Contact #2
Full Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Phone Number*
Format: (000) 000-0000.
Secondary Phone Number
Format: (000) 000-0000.
Relationship to Child*

Waivers
Rancho Pardis, Inc, has permission to secure emergency transportation for my child in the event of an illness or injury which requires emergency treatment. The emergency transportation service will determine the facility to which my child will be transported.*
Type first and last name above to consent
You have my permission to use my child’s photograph for digital marketing purposes on the website and social media. I also agree that no type of compensation shall become payable to me or my child. (yes or no)*
Type first and last name above to consent or enter No
Sign Document*
Date Signed*

MonthDayYear
Camp Director Name and Contact Info

Session Selection and Payment
Please select the session(s) for your camper*
prevnext( X )
Session 1
May 31 - June 3, 2022 Now includes DAILY HORSEBACK RIDING LESSONS

$480.00



Session 2
June 6 - June 10, 2022Now includes DAILY HORSEBACK RIDING LESSONS

$600.00



Session 3
June 13 - June 17, 2022Now includes DAILY HORSEBACK RIDING LESSONS

$600.00



Session 4
June 20 - June 24, 2022

$400.00



Session 5
June 27 - July 1, 2022

$400.00



Total

$0.00
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Farm Friends Camp Registration