Farm Day Camp Registration

Farm Day Camp

Child's name

Child's Age

Parent's Name

Parent's Phone Number

Emergency Contact Name

Emergency Phone Number

Is your child able to participate in small group activities without one on one assistance?

YesNo

Will you need before or after care provided for your child? ($25 for either, $50 for both)

BeforeAfterBothNeither

Would you be interested in volunteering as a team leader for a discounted rate?

YesNo

Child's Disabilities

Does your child have any health conditions we need to be aware of?

Is there any additional information about your child we should be aware of?

To secure your child's place in summer camp, we are asking for a deposit of $100. The remainder of camp fees will be due and payable by check or cash by the first day of camp.

Pay $100 Deposit

Pay to HOLD SPOT

Session Details

Special Needs Program

Length: 4 days Monday to Thursday.
Cost: $300 per session (we request $100 payment in advance).

Camp price covers the cost of all activities, snacks and drinks.
Please provide a packed lunch for your child each day.

Discounted Rates

Two camps: $550
Three camps: $850
Four camps: $1000

(Multi camp rate and multi child rate are the same.)

Disclaimer

Due to the possibility we may be unable to meet your child’s specific individual needs at this time, we will offer a deposit refund upon review of registration information.

Special Needs Program

Length: 4 days Monday to Thursday. Cost: $300 per session (we request $100 payment in advance).

Discounted Rates

Disclaimer

Length: 4 days Monday to Thursday.
Cost: $300 per session (we request $100 payment in advance).