Clone of Strong Roots Fall25/Spring26 Registration

Strong Roots Summer Camp 2026 Registration
CHILD INFORMATION:

Each child in the family needs a form
Child Name*

First NameLast Name
Birth Date*

MonthDayYear
PARENT/GUARDIAN INFORMATION:
Parent/Guardian Name*

First NameLast Name
Phone Number*
Email*
example@example.com
Phone Number*
Parent/Guardian Name*

First NameLast Name
Email*
example@example.com
Emergency Contact Information:
EMG Contact Name*

First NameLast Name
EMG Phone Number*
Permission to Pickup*
MEDICAL INFORMATION
Does your child have any food allergies?*

YesNo
If yes, please describe:
Has your child been stung before?*

YesNo
If yes, describe the reaction and treatment administered, if any
Any additional information you think we should know about your child:
CAMP SELECTION

Camp Cost : $250 per camp. If camp is full, please reach out to Kristin be added to a waitlist. Strongrootswildroots@gmail.com

	Class
Wild Foragers: June 15-18 Ages 4+
Wild Hunters: June 15-18Ages 9+
Nature Ninjas: June 22-25 Ages 7+
Creekside Adventures: June 22-25Ages 3-6
Earth Craft Arts CampAugust 10-13Ages 3-6
Earth Craft Arts Camp: August 10-13Ages 7+

Other comments:
DEPOSIT

Please pay deposit of $50 (per child per camp) upon submitting registration either in cash, Venmo (kristin-stoddard-4), or Paypal (strongrootswildroots@gmail.com). If paying with Paypal, use Friends and Family. You will be invoiced for the balance due at a later date. The deposit is not refundable and goes towards the cost of camp, When submitting the payment, indicate the camp you are making a deposit for in the comments with Paypal or Venmo and for which child.
Deposit Method*

PayPal/ VenmoCash
Should be Empty:

Strong Roots Summer Camp 2026 Registration