Summer Camp Registration 2025

Summer Camp Registration- Youth Garden Project 2025

Please fill out this form in its entirety. If you are registering more than one camper, please fill out the form for each camper. Registration is based on a first come-first served policy and space is limited, so be sure to sign-up today! NOTE: This form will require you to make a $45.00 deposit, please call the Youth Garden Project office at 435-259-2326 if you are unable to make the deposit now.
Camper Information
Camper First and Last Name:*
Date of Birth:*

MonthDayYear
Date
Age:*
What grade will your camper be entering in Fall 2025?*

1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade
Pronouns: *
NOTE: We request this information so we can best support your child's success and experience at camp.
Mailing Address: *

Parent/Guardian Information
Parent/Guardian (1) First and Last Name *
Parent/Guardian (1) Phone Number (include Cell, Home, & Work if applicable)*
Parent/Guardian (1) Email*
Parent/Guardian (2) First and Last Name
Parent/Guardian (2) Phone Number (include Cell, Home, & Work if applicable)
Parent/Guardian (2) Email
Camp correspondence should be sent to:*

Parent/Guardian 1Parent/Guardian 2Both
Would you like to be notified of YGP events and volunteer opportunities, hear stories from across our programs, and learn about other exciting happenings at the garden?*

Yes, sign me up for the YGP e-newsletter!No, I do not want to receive news from the garden

Emergency Contact Information

Use this area to list the individual(s) we may contact in an emergency, in the event parents/guardians are unreachable.
Emergency Contact #1- First and Last Name: *
Emergency Contact #1- Relationship to Child: *
Emergency Contact #1 Phone Number: *
Emergency Contact #2- First and Last Name:
Emergency Contact #2- Relationship to Child:
Emergency Contact #2- Phone Number:
Individuals OTHER than Parents/Guardians Authorized to Pick-Up My Child (include phone number for each person):

Medical, Allergy, and Behavior Information
Health Insurance Provider and Policy Number (if none, write none)*
List any allergies your child has to food, medications, insects, or other- this includes any dietary restrictions. If none, write none. *
List any pre-existing medical conditions your child may have. For example: asthma, hearing, ear infections, vision, fractures or sprains, diabetes, seizures, fainting spells, heart issues, etc. If none, write none.
List any regular medications your child may take. If none, write none.
NOTE: YGP staff is unable to dispense ANY medication due to our liability insurance.
We want to make Summer Camp as supportive and inclusive for your child as possible. Please list any behavior considerations that would be beneficial for YGP staff to know beforehand.
NOTE: We request this information so we can best support your child's success at camp. Doing so will not affect your child's eligibility for camp.
ACCOMODATION REQUEST(S): If any, please share accommodation requests that would improve your child's experience at camp.
NOTE: The Youth Programs Director may contact you to determine if YGP is able to fulfill the accommodation request and/or to discuss further how YGP could best support your child's camp experience.
Will your child need a life jacket to swim in Mill Creek or at the Rec Center Pool?*

YesNoI'm not sure and would like to check with the Youth Programs Director first

Summer Camp Registration- Youth Garden Project 2025