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Farm Registration
Child's Name
Which week is you child attending?
*
Required
July 3rd, 5th, 6th and 7th
July 10th - July 14th
July 17th - July 21st
July 24th - July 28th
Which descriptions best suits your child
Shy
Outgoing
Adventurous
Cautious
Picky Eater
Open to trying new things
Sporty
Creative
Curious
Anything else we should know about your child
Does your child have any allergies?
*
None
Yes
If yes, give us more details
Emergency Contact 1
Emergency Contact 2
Please list an additional adults with authorization to pick up your child.
This camper is covered by family medical/hospital insurance
*
Yes
No
Are you happy for your child to be photographer or filmed?
*
Yes
No
Anything else we should know
Submit
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