The Farm Camp Registration

The Farm Camp Registration

Sign up your child for a fun farm experience this summer. 3618 Eckhardt Rd. Hamburg. M-F 9-1. Camp is instructed by a certified NYS teacher. Days will be filled with learning about farm animals, farm to table, farm exploration, nature play and crafts. $425. Sibling Discounts!
Parent / Guardian Information
Parent / Guardian Name

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

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Child Information
Child Name

First NameLast Name
Entering Grade (Fall 2025)
Additional Child Name

First NameLast Name
Entering Grade (for Additional Child)
Which week would you like to attend? (Select one) Only 9 spots per week — small group farm experience
Camp Length
Emergency Contact
Emergency Contact Name

First NameLast Name
Emergency Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Medical & Safety Information
Does your child have any allergies we should be aware of?
Does your child have any medical conditions we should be aware of?
Will your child need medication during camp?
Photo Release
I give Greene Acres Family Farm permission to photograph my child for marketing and social media purposes.
How did you hear about The Farm Camp at Greene Acres?
Liability Waiver
I understand farm camp involves interaction with animals, outdoor terrain, and farm activities. I release Greene Acres Family Farm and 3315 South Creek LLC from liability except in cases of negligence.
Payment
Remaining balance will be invoiced prior to the start of camp.
Please Venmo @GreeneAcres3618 the proper amount for each child attending and for each week. It's $100 non-refundable deposit per week, per child. Please add your last name, childs name, and camp registration plus week in the " what is this for field."

Venmo and registration form must be recieved together in order to secure your spot. Only 9 spots per week — small group farm experience. These will book fast! Please email Suzanne with any questions. suzanne@greeneacresfamilyfarm.com
Should be Empty:

The Farm Camp Registration

Parent / Guardian Information

Child Information

Emergency Contact

Medical & Safety Information

Photo Release

Liability Waiver

Payment