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Farm Club and Summer Field Trip Registration
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* Indicates required question
Please enter your order number(s) from your confirmation email.
*
Your answer
What program(s) will your child attend?
*
Farm Camp Week 1
Farm Camp Week 2
Farm Camp Week 3
Farm Camp Week 4
Farm Camp Week 5
Farm Camp Week 6
Farm Camp Week 7
Amazing Monarchs
Carnivorous Plants
Greet the Goats
Stream Walk
Art From Nature
Garden Habitats
All About Pollinators
Required
Child's Name
*
Your answer
Child's rising grade (2021-22 school year)
*
Kindergarten
1st Grade
2nd Grade
3rd grade
4th grade
5th grade
Guardian's Name
*
Your answer
Phone Number (Cell)
*
Your answer
Phone Number (Home)
Your answer
Address
*
Your answer
Email Address
*
Your answer
Please list allergies, medical conditions or any other concerns the staff should be aware of related to health and behavior:
Your answer
We ask that you please apply sunscreen and bug spray to your child prior to coming to camp. However, if needed, may we reapply bug spray to your child?
*
Yes
No
Emergency Contact (Name and phone number)
*
Your answer
Who has permission to drop off and pick up your child (list all that apply, driver may be asked for a photo ID to verify identity)?
*
Your answer
What is their phone number(s)?
*
Your answer
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