Camps At River Mountain Farm and Life Center
Camp Sign up form
Email *
Camp Name *
Parent Name *
Chid Name *
Child Age and date of birth *
Child 2
Child Age and date of birth
Email address *
Phone Number *
Emergency Contact phone number and email address *
Special Needs or Health Conditions
Allergies
Is your child safe around bodies of water? (no pool just a safety precaution around water tubs) *
Payment  *
50% Deposit paid? *
Date Paid?
MM
/
DD
/
YYYY
T-shirt size *
Submit
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