2020 Camp Registration

If you have questions about our Summer Camp, please check our general information and FAQ pages.
CAMPER INFORMATION
Please select the number of campers you are registering.
#*
Are you a CSA shareholder?*

YesNo
*CSA Shareholders receive a $25 discount per family per camp season. Click here to sign up for a CSA share or to learn more.
Camper #1
Child 1's First Name*
Child 1's Last Name*
Child 1's Age*
Child 1's Grade (fall 2020)*
Identifies as (gender)*
Please provide any information that will help us make camp an enjoyable and safe experience for your child in the spaces below. The Camp Director will contact you for additional information, if necessary.
Child 1's Special Needs
Child 1's Dietary Restrictions
Child 1's Allergies*

YesNo
If yes, Child 1's Allergies Details
If your child will need to take medication while at camp, please describe below.
Child 1's Medication
Describe
Please note: Medications will be self-administered under supervision of camp staff. Medication will only be dispensed if it is stored in its original container and labelled as follows:Prescription Medications: full name of child, date prescription filled, expiration date, directions for use (including dosage and time of treatment), instructions for storage, precautions, name and address of dispensing pharmacy, name of physician prescribing medication.Non-prescription Medications: full name of child, directions for use (including dosage and time of treatment), instructions for storage, precautions, authorization from parent/guardian or physician.
Children are divided into groups by age. We do our best to accommodate group placement requests for children of similar ages. Please indicate if there is a particular friend you would like to have in your child"s group. If registering siblings who are close in age, please note whether you would prefer that they be placed in the same group or in different groups.
Child 1's Friend Request
Your first child must be between 4-12 years old to participate in our summer camp. Campers must turn 4 before January 1st, 2020 to attend summer sessions.
D.O.B. Child 1*
Please choose from the following sessions:
*

Week ONE- June 29 - July 3 $350Week TWO - Jul 6-10 $350Week THREE - July 13-17 $350Week FOUR - July 20 - 24 $350Week FIVE - July 27 - 31 $350Week SIX - August 3 - 7 $350Week SEVEN - August 10-14 $350Week EIGHT - August 17-21 $350
If you chose more than one week, how many weeks are there total for Child 1?

Two (pay $330 per week)Three (pay $330 per week)Four (pay $320 per week)Five (pay $320 per week)Six (pay $320 per week)Seven (pay $320 per week)Eight (pay $320 per week)
Discounts only apply on the initial registration. If more weeks are added, the total discount is not retroactive to previously registered week(s).
Camp T-shirt $25*
If yes, please choose

XS youth size 2-4S youth size 6-8M youth size 10-12L youth size 14-16
Camper #2
Child 2's First Name*
Child 2's Last Name*
Child 2's Age*
Child 2's Grade (fall 2020)*
Identifies as (gender)*
Child 2's Special Needs
Child 2's Dietary Restrictions
Child 2's Allergies*

YesNo
If yes, Child 2's Allergies Details
If your child will need to take medication while at camp, please describe below.
Child 2's Medication
Describe
Please note: Medications will be self-administered under supervision of camp staff. Medication will only be dispensed if it is stored in its original container and labelled as follows:Prescription Medications: full name of child, date prescription filled, expiration date, directions for use (including dosage and time of treatment), instructions for storage, precautions, name and address of dispensing pharmacy, name of physician prescribing medication.Non-prescription Medications: full name of child, directions for use (including dosage and time of treatment), instructions for storage, precautions, authorization from parent/guardian or physician.
Child 2's Friend Request
Your second child must be between 4-12 years old to participate in our summer camp. Campers must turn 4 before January 1st, 2020 to attend summer sessions.
D.O.B. Child 2*
Please choose from the following sessions for Child 2:
Week ONE- June 29 - July 3 $350Week TWO - July 6-10 $350Week THREE - July 13-17 $350Week FOUR - July 20-24 $350Week FIVE - July 27-31 $350Week SIX - August 3-7 $350Week SEVEN - August 10-14 $350Week EIGHT - August 17-21 $350
If more than one week, how many weeks total for Child 2?

Two (pay $330 per week)Three (pay $330 per week)Four (pay $320 per week)Five (pay $320 per week)Six (pay $320 per week)Seven (pay $320 per week)Eight (pay $320 per week)
Discounts only apply on the initial registration. If more weeks are added, the total discount is not retroactive to previously registered week(s).
Camp T-shirt Child 2 $25*
If yes, please choose

XS youth size 2-4S youth size 6-8M youth size 10-12L youth size 14-16
PARENT/GUARDIAN INFORMATION
Parent/Guardian #1
Parent 1's First Name*
Parent 1's Last Name*
Phone 1*
E-Mail 1*
Adult camp T-shirt $25*
If yes, please choose

Adult SAdult MAdult LAdult XL
Parent/Guardian #2
Parent 2's First Name
Parent 2's Last Name
Phone 2
E-Mail 2
Adult #2 camp T-shirt $25*
If yes, please choose

Adult SAdult MAdult LAdult XL
CONTACT INFORMATION
Mailing Address*
City*
State*
ZIP*
EMERGENCY CONTACTS
Please provide names and phone numbers for two different emergency contacts other than the child(ren)"s parent(s)/guardian(s).
Emergency Contact Name 1*
Emergency Contact Phone 1*
Emergency Contact Name 2*
Emergency Contact Phone 2*
Additional people authorized to pick up camper(s) (aside from parents/guardians or emergency contacts), if applicable:
Authorized Pick-up Name 1
Authorized Pick-up Phone 1
Authorized Pick-up Name 2
Authorized Pick-up Phone 2
DISCOUNTS
Sibling discount: $25

CSA Shareholder discount: Families who are shareholders for the 2020 growing season receive $25 off their total registration fee.

Multi-week discount
If you registered your child for:

Two or three weeks, you pay $330 per week.

Four weeks and more, you pay $320 per week.

If you would like to apply for a scholarship please fill out this form (one per child). Thank you!
DONATIONS
If you would like to make a donation to our Camp Scholarship Fund today, please indicate the amount below. Thank you!
Donation $
OTHER INFORMATION
Please tell us how you found out about the Farm Camp - please check ONE. Thank you!
*

Word of MouthSchool FlyerPostcardHV Parent WebsiteAlmanacOur NewsletterWeb Search (please specify below)Social Media (please specify below)Business of the Month at Ulster Savings BankFair or festivalOther
Camper Contact List: We will send out an e-mail with the contact information of registered campers to help families facilitate carpooling and friendships.

Do you wish for your contact information to be shared? Please check below:
*

YesNo
Photo Release: We will occasionally take photographs of camp programs for use in promotional materials, both in print and online. Children in our photographs are never identified by name. Do you give permission for your child to be photographed? Please check below:
*

YesNo
Consent to Treat/Release: I hereby authorize my child(ren) to participate in Phillies Bridge Farm Project summer camp. My child(ren) is/are physically able to participate in outdoor activities. I hereby release the Phillies Bridge Farm Project, and their employees and volunteers, from any claims, damage, or expense sustained by my child(ren) in connection with such participation. In case of medical emergency, I give the camp health director or designee the authority to obtain the emergency medical treatment for my child(ren) in case the parent/guardian or parent/guardian"s representative cannot be reached. I understand that because this program takes place on a farm there is a risk of tetanus, and that Phillies Bridge Farm Project, Inc. recommends that I check with my physician to make sure my child(ren)"s tetanus shots are up to date.[Please indicate your consent by checking the box below.]
Consent*

true
Refund and Cancellation Policy: Full payment or a $150 non-refundable deposit PER CHILD is required to hold a spot for your child(ren). The balance of the camp tuition is due by June 1st, 2020. Refunds are available (less a $150 non-refundable fee per child) for registration cancellations up to 30 days before the first day of your child's camp session. For cancellation with less than 30 days notice, no refund or credit will be provided. We have established this refund policy in order to ensure that we can cover the costs of our programs, fill all available camper slots, and hire the appropriate number of staff based on the number of program participants. Please indicate your agreement to these terms by checking the box below.
I Agree*

true
Payment Method: Due to high processing fees we prefer to receive payment by check, but we can also accept payment by credit or debit card (Visa, MasterCard, or Discover only) or through PayPal. Please check your method of payment below.
If you wish to send the $150 non-refundable, non-transferable deposit per child only rather than paying in full, please choose "check" and mail it in. The balance of your payment will be due by June 1st, 2020. Thank you!
Register by April 1st and save $35 on the registration fee!

You MUST pay in full by June 1st.

Thank you!
Calculation
Method*
Payment

prevnext( X )
USDThank You!
PLEASE READ CAREFULLY: To pay by check, click on "Proceed to Checkout" below, but do not complete the transaction through PayPal. Make note of the Total, then close the PayPal window. (Don"t worry--our database will record your reservation!) Your registration will not be complete until payment is received. We must receive your check within one week of registration in order to hold your spot. After one week, unpaid spaces will be cancelled.

Your full balance is due by June 1st, 2020

Please make your check out to "Phillies Bridge Farm Project" to: Phillies Bridge Farm ProjectSummer Camp45 Phillies Bridge RoadNew Paltz, NY 12561 Clicking "Proceed to Checkout" below will submit your pay-by-check reservation. You will receive e-mail confirmation of your reservation within 1-2 business days.
Please click on "Proceed to Checkout" below to pay by credit/debit card or through a PayPal account to complete your registration. You will be redirected to PayPal to complete the transaction. (A PayPal account is not required to pay by credit or debit card.)
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