Summer Farm Camp Registration Form

Ages 4 -13

Located at Black Ridge Farms
Session 1: June 9-12, Session 2: June 16-19

Parent/s Name

First Name

Last Name

Email

What Summer Farm Camp sessions are you registering for?

Session 1 - June 9-12

Session 2 - June 16-19

I would sign up for more summer camp sessions if you offered them.

Your child/childrens name

Child/childrens age

Why have you chosen to register your child/children for summer farm camp 2024? Tell us briefly about your child/children.

In case we cannot get a hold of you for emergency reasons, who can we call?

First Name

Last Name

Emergency phone number

(###)

###

####

Who else is authorized to pick up your child? We will not allow your child to go home with any who is not authorized. A verbal authorization works too. (Example - Text, call, email and let me know name of person who is picking up.)

Does your child have any allergies? If so, what are they?

Does your child have any health concerns/conditions we need to be aware of? If any, does your child need any accommodations?

Child/children’s shirt sizes

Each camper will get a t-shirt!

Wait! Be sure to complete the second step to registration by clicking below to pay for your camp session!

Session 1: June 9-12, Summer Farm Camp 2025

Session 1: June 9-12, Summer Farm Camp 2025

$240.00

Session 2: June 16-19, Summer Farm Camp 2025

$240.00