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Summer Camp 2024

Child's General Information

First name

Last name

Age

Session Registering For

Parent/Guardian General Information

Name

Address

Email

Phone

Emergency Contact Information

Name

Emergency Contact Relationship

May we use photos of child for promotina use

I give permission for my child to be taken to the hospital in case of an emergency, and consent to emergency treatment until the time of my arrival at the hospital. I understand that every effort will be made to contact me in the event that such an emergency takes place.

Select an item ($) *

1 Day at Camp - $64.43

2 Days at Camp - $128.85

3 Days at Camp! - $193.28

See you at the farm!