Wild Rose Farm Summer Camp' 2026 Program Registration Form

In nature we never see anything isolated, but everything in connection with something else which is before it, beside it, under it and over it.

Johann Wolfgang von Goethe

REGISTER HERE:*

Week 1: Animal Husbandry and Haymaker’s Village, June 22 - 26, 2026, (Deposit)$30.00

Balance due $330

Week 2: Fiber Arts Village, June 29 - July 3, 2026 (Deposit) 2$ Free

Please contact us to add your child's name to the waitlist: office@wildrosefarmnh.org

Week 3: Forestry and Woodworking Village, July 13 - 17, 2026 (Deposit)$30.00

Balance due $330

Week 4: Farm to Table Village, July 20 - 24, 2026 (Deposit)$30.00

Balance due $330

Week 5: Resilience through Sculpture Village, July 27 - 31, 2026 (Deposit)$30.00

Balance due $330

Total $0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Wild Rose Farm Campership Fund, NH-EFA payments, Billing, Cancellation and Refund Policies

Campership Fund 2026: Wild Rose Farm has a Campership Fund for Summer 2026. The Registration Form includes a space for you to share what funds would be helpful to support your child/ren attending Camp this Summer.

NH - EFA Program recipients: Wild Rose Farm at Gaia Education Outreach Institute accepts payments, via ClassWallet, from NH Education Freedom Accounts Program. If you'd like to submit full payment, including the $30 Registration Deposit, from your EFA account/s please contact us at office@wildrosefarmnh.org We will email you a Summer Camp, no deposit registration form for you to complete for your child, and we will send an Invoice to you to submit for payment to ClassWallet for payment in full.

Billing: A non-refundable $30 registration deposit is payable when you register for a week of Summer Camp at Wild Rose Farm.
Once we receive your child's registration form an invoice for the balance due will be sent to you thru QuickBooks. This balance is due by June 1st unless prior agreements have been made. You can partial pay this invoice, until June 1st, by clicking on the invoice link and submitting payments as you are able. When you click on the invoice link you will see the current balance due, after your payment has been processed.
We prefer payments via QuickBooks however we also accept payments cash and checks, please contact us to coordinate.

Cancellation & Refund Policies: Cancellation requests received before May 15th will result in a full refund minus a $30 cancellation fee.
Cancellation requests received after June 1st will result in a 50% refund.
Cancellation requests received after June 15th will only be refunded in extreme circumstances, regardless of whether that session has a waitlist.

Please check all the boxes that apply, and note any helpful support requests from our 2026 'Campership' Fund:

Please contact me to schedule a payment plan

I'm requesting the 5% discount for enrolling my child in more than one week

I'm requesting the 5% sibling discount

I'd like to request financial support from your Campership Fund. I'm noting my/our requested amount for the child I am registering as well as sharing any other thoughts or needs that would be helpful for my child to join Camp this summer.

Is there anything else you may need from us so that your child is able to attend our Summer Camp Program?

Please note that I'm interested in enrolling my child in the afternoon care program, 2-3:30 p.m., $20 per afternoon

Monday

Tuesday

Wednesday

Thursday

Child's Name*

First NameLast Name

Preferred Name*

Child's Birthdate*

Adult Caregiver/Emergency Contact*

First NameLast Name

Relationship to child*

MobileLandline

Area CodePhone Number

MobileLandline

Area CodePhone Number

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

E-mail*

Adult Caregiver

First NameLast Name

YesNo

Relationship to child

MobileLandline

Area CodePhone Number

MobileLandline

Area CodePhone Number

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email

example@example.com

Name of child's health support person (aka PCP or other)*

First NameLast Name

Policy ID Number

Subscriber

First NameLast Name

Yes, please provide notes belowNo

Dietary notes

Yes, please provide notes belowNo

Medical notes

Is these anything else you'd like to share with us about your child? Please note if you'd like to be contacted by phone to share.

Wild Rose Farm Summer Camp 2026