Family Camp for Single Moms

We're so glad you are registering to come to our Family Day Camp this year.

The date is Saturday, July 25th from 10am - 6pm.

This camp is designed specifically for single moms who have minor aged children coming with them.

There is a $20 registration fee per family, but you'll get your 20 bucks back when you check in upon arrival at camp.

We will ask that you have a current waiver on file with 5Rock Ranch. If you haven't done one within the last two years, we ask that you fill it out. It's an easy online form that is at the bottom of this registration form. You must have this form done in order to attend.

After you submit this registration, you'll receive a thank you page with two links... One is the waiver, and the other is a link to a web page with all of the needed information. There won't be any additional communication about camp, so please make sure you open and save it so you'll know what time to be at 5Rock Ranch and what to bring with you.

Again, thank you for registering and we can't wait to see you at camp!

Do you have a current waiver on file at 5Rock Ranch?

Name

First NameLast Name

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

How did you hear about camp?

How many minor kids are coming with you?

You must be the legal guardian of the children you're bringing with you.

Please list all of your kid's full names and their current age:

Do you or any of your children have a gluten allergy?

If yes, please tell us the names.

Do you or any of your children have a dairy allergy?

If yes, please tell us the names.

REGISTRATION FEE

DAY CAMP FOR MY FAMILY

$20.00 Quantity

Total

Credit Card

Family Camp for Single Moms

REGISTRATION FEE*

Credit Card

REGISTRATION FEE