Summer Camp Registration

Nature Camp Registration

Use this form to sign up for 2025 Nature Camps at Harvey Family Farm. One form per camper; those with multiple campers will need to fill out multiple forms. Each camp has camper limits, you will receive an email confirmation when our sign ups are finalized.
Which Camp Sessions would your camper like to attend?*

Session A -> June 23-27Session B -> July 7-11Session C -> July 14-10
Parent's Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Campers Name

First NameLast Name
Campers Age*
Is there anything we should know about your Camper? (allergies, health, if no please type N/A)
Physician's Name & Phone Number*
Emergency Contact
Emergency Contact #1*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Emergency Contact #2

First NameLast Name
Phone Number
Please enter a valid phone number.
Pick up Authorization

List of individuals who are authorized to pick up your child. Photo ID will be required. Child will only be released to authorized individuals. Any changes to this must be made in writing.
Name*

First NameLast Name
Name

First NameLast Name
Name

First NameLast Name
Please list any individuals NOT permitted to pick up child
Image Release
Harvey Family Farm has permission to photograph/video my child during event activities. These images may be used for promotional materials, social media, marketing purposes. The child's name will not be published with images*

I give my permission for photos/videosI DO NOT give my permission
Sun Protection
I authorize Farm staff to assist my child in applying: (please check all that apply)*

Sunscreen/repellant that I provide, labeled with child's nameSunscreen provided by the FarmBug repellant provided by the FarmNone of the above (please note, children will be exposed to the sun, as well as to various types of bugs, just as a consequence of being outside. )
Outdoor Activity Consent
I give permission for my child to participate in all Harvey Family Farm Camp activities, including but not limited to: outdoor nature walks, creek exploration, supervised group activities, farm-based learning experiences, nature crafts*
initial here
I acknowledge that my child will get wet and dirty at Nature Camp and that's just part of the fun. I will send him/her in appropriate clothes each day, including shoes that are appropriate for creek play.*
initial here
I understand outdoor activities involve inherent risks. The Farm staff is committed to maintaining appropriate supervision and basic safety protocols.*
initial here
Camper Expectations
Campers are expected to:

-respect staff, fellow campers, animals & the environment

-follow all safety instructions

-participate positively in activities

-care for camp equipment & natural surroundings

-stay away from farm equipment, as discussed by the staff

Behavioral guidelines:

-bullying or harmful language

-listen and cooperate with instructors

-stay with group during activities

-use appropriate voice levels

-keep hands to yourself

Consequences:

-first warning: verbal reminder

-second warning: temporary activity separation

-third warning: parent contact

-severe misconduct may result in camp dismissal without a refund

Personal Responsibility:

-Wear appropriate outdoor clothing

-Bring a filled water bottle and a packed lunch each day

-The fun begins at 9 am each day, so please arrive promptly so your camper can get the most out of the day!
Payments & Refunds
Enrollment forms and payment are required to reserve your spot in Nature Camp.

If your child cannot attend, a 50% refund may be requested before May 1, 2025.

After May 1, payments are non-refundable.

Class sizes are very limited, in order to give each child the attention they deserve. Our website will reflect when each week is full. However, if you wish to be on the waiting list, please go ahead & fill out this form and submit. You will be notified via email or phone if a space opens up for your child.
Agreement

By signing below, I authorize that all information provided in this form is true and correct. I (and my child) agree to all behavioral guidelines and understand and agree to the consequences as stated above. I understand and accept everything outlined in this form.
Signature*

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Date*

MonthDayYear
Date
Should be Empty:

Nature Camp Registration

Emergency Contact

Pick up Authorization

Image Release

Sun Protection

Outdoor Activity Consent

Camper Expectations

Payments & Refunds

Agreement