Summer Farm Camp Registration

We are excited to announce that registration is open for our

Summer Farm Camp!

Session Info:

Date:

July 8th - 12th, 2024

9am - 12pm

A snack and drink will be offered at the end of each session but NO LUNCH will be provided.

Cost: $160 per child for the week

Parent or Legal Guardian Information

Please fill out the following information to register your child for camp. Every child must be registered individually to attend.
My children are involved in HOPEfull Pastures in some capacity already*

YesNo
If yes, please specify (if no, skip)

I am a volunteer and they are in childcareThey are a Jr. volunteerThey are/have been enrolled in sessionsOther
Please Select Your Session (choose 1)*
Primary Guardian *

Parent First NameParent Last Name
Primary Guardian Email *

Confirmation Email
Primary Guardian Phone Number*
Primary Guardian Address*

Street Address

CityState

Zip Code
Secondary Guardian (if applicable)

Secondary Parent First NameSecondary Parent Last Name
Secondary Guardian Email (only if different than primary guardian. If no unique email, leave blank.)
example@example.com
Secondary Guardian Phone Number (if applicable)
Please enter a valid phone number.
Emergency Contact (other than Guardians)*

Emergency Contact First NameEmergency Contact Last Name
Emergency Phone Number*
Please enter a valid phone number.

By clicking submit, you agree that you are the parent or legal guardian of the above-named child.

After submitting this registration form you will be directed to the following forms:

1. Payment

2. Waiver

Thank you!
CLICK SUBMIT BELOW TO REGISTER THIS CHILD.

Thank you for your registration!
Please verify that you are human*
If you have any problems completing this form, please email hopefullpastures01@gmail.com for assistance.
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HOPE-full Pastures