2026 Sweet Roots Farm Camp Registration Form

Sweet Roots Farm Camp Registration Form

Summer 2026
Attendee Information
Parent/Guardian's Name*

First NameLast Name
Email Address*
example@example.com
Contact Number*
Please enter a valid phone number.Format: (000) 000-0000.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Child's Name*

First NameLast Name
Birthdate*

MonthDayYear
Date
Emergency Contact*

First NameLast Name
Emergency Contact Number*
Please enter a valid phone number.Format: (000) 000-0000.
2345678
YesNo
If yes, please describe:
Is there anything else we need to know about your child?
YesNo
Child's Name*

First NameLast Name
Birthdate*

MonthDayYear
Date
2345678
YesNo
If yes, please describe:
Is there anything else we need to know about your child?
Please list each person who is authorized to pick up your child(ren). Use this format: full name, relationship to child, phone number.*
YesNo

Select your camp session(s) below. If you're registering more than one child, please change the 'quantity' under each session to 2.

June 29-July 2 (Mon-Th)

$280.00 Quantity

June 29 & July 1 (Mon & Wed)

$150.00 Quantity

July 6-9 (Mon-Th)

$280.00 Quantity

July 6 & 8 (Mon & Wed)

$150.00 Quantity

July 13-16 (Mon-Th)

$280.00 Quantity

July 13 & 15 (Mon & Wed)

$150.00 Quantity

July 20-23 (Mon-Th)

$280.00 Quantity

July 20 & 22 (Mon & Wed)

$150.00 Quantity

July 27-30 (Mon-Th)

$280.00 Quantity

July 27 & 29 (Mon & Wed)

$150.00 Quantity

Aug 3-6 (Mon-Th)

$280.00 Quantity

Aug 3 & 5 (Mon & Wed)

$150.00 Quantity

Enter coupon

Total

$0.00

Each camp day starts at 9am and ends at 3pm. Children can be dropped off as early as 8am for $15/child and/or picked up as late as 4pm for $15/child. Payment is expected at time of service. Early drop-off and late pick-up can also be paid at a discounted weekly rate of $100/child, which includes extra morning and afternoon care on each day of camp.
Yes
I have carefully read, understand, and voluntarily sign the above Mountain Roots Education Risk Release Form *

Powered by Jotform SignClear
Should be Empty:

Sweet Roots Farm Camp Registration Form