Wk 2 (July 18) 2022 Summer Camp Registration
Thank you for registering online for Massaro Farm's 2022 summer program. Once you submit this form, you will receive a statement for the total amount due. Please remember to sign up for each week of camp you'd like your child(ren) to attend. Payment can be made via check or credit card.  We ask that you make every effort to make payment in full by May 1, 2022.  
Email *
How many children are you registering for this week? *
Child #1: Full Name *
Child #1 DOB (must be 5 no later than May 1, 2022) *
Child #2: Full Name
Child #2 DOB (must be 5 no later than May 1, 2022)
Child #3: Full Name
Child #3 DOB (must be 5 no later than May 1, 2022)
Parent/Guardian Name: *
Primary Telephone No: *
Home Address: *
Release of Liability: By submitting this application, I hereby give permission for my child(ren) to participate in the Summer Camp program of Massaro Community Farm. I hereby release Massaro Community Farm, their agents, servants & employees from any liability that may result in injury, bodily harm, or property damage that said child might sustain while participating in the said program. *
Required
I understand that my registration in summer camp is not confirm until payment is made. I will receive a statement via email for a total balance due, which must be paid by May 1, 2022. Payment may be made via credit card or check made payable to Massaro Community Farm, Inc. 41 Ford Road, Woodbridge, CT, 06525, attn: Education Director. *
Required
Photo Release: I grant Massaro Community Farm the right to take photographs and/or video of me and my family in connection with this activity.  I assign copyright, title and interest to photos and/or video on farm property and during this activity. I assign copyright, title and interest to such content to Massaro Community Farm, its assigns and transferees for promotional and other lawful purposes, including  publicity, illustration, advertising, and Web content. *
Required
A copy of your responses will be emailed to the address you provided.
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