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Stony Kill Summer Farm Camp 2017
Please complete one registration form per camper. Upon receipt of your registration form, you will receive confirmation of your reservation. At that time we'll request payment via check to Stony Kill Foundation, 79 Farmstead Lane Wappingers Falls, NY 12590. Once payment has been received, you'll receive another confirmation that your child is fully registered for your requested camp session.
Child's Name
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Child's Birthdate
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Parent/Guardian's First and Last Name
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Parent/Guardian's Email
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Address
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Parent/Guardian's Home Phone number
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Parent/Guardian's Cell number
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Parent/Guardian's Work number
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Second Parent/Guardian's First and Last Name
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Second Parent/Guardian's Home number
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Second Parent/Guardian's Cell number
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Second Parent/Guardian' Work number
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Emergency Contact Name and relationship to child
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Emergency Contact Phone Number
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Choose your summer camp(s) below:
Required
Do you need after care? There is an additional charge of $25 per hour.
Does your child have any allergies? (food, environmental, etc.) Please indicate any medication that you will be leaving with your child.
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Our Camp Director and staff will be taking pictures each week and would love to post them on Stony Kill Foundation's social media accounts and website! We will also email all parents/guardian's photos at the end of the camp. Please indicate the following:
How did you hear about Stony Kill Farm Camp?
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