2019 Summer Camp Registration Form
Please fill out this form to register your child for Gallatin Valley Farm to School's cooking and garden-based summer camps! Camp locations are still being determined, but they will take place either at Irving, Hyalite or Hawthorne Elementary schools. We will update the form as soon as locations are confirmed.

Payment is due upon registration; due to high demand your spot will not be confirmed until we receive payment. You may submit payment online at www.gvfarmtoschool.org/camps (at the bottom of the page) or by check. Make checks payable to Gallatin Valley Farm to School and mail them to:

Gallatin Valley Farm to School
PO Box 563
Bozeman, MT 59771

Contact Erin at erin@gvfarmtoschool.org or (406)219-7929 with any questions. We look forward to spending a week exploring and growing, harvesting, preparing and eating delicious food in the garden with your child this summer!

Email address *
Child's Information
Last Name *
Your answer
First Name *
Your answer
Gender *
Birth Date *
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Grade Level (Fall 2019) *
Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Name of Child's School *
Your answer
Child's Medical Information
Allergies
Please provide any necessary details.
Your answer
Medications
Please provide any necessary details.
Your answer
Dietary Restrictions
Your answer
Other pertinent medical information or special needs?
Your answer
Primary Doctor & Contact Information *
Your answer
Health Insurance Carrier *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone *
Your answer
Parent/Guardian Information: Contact #1
Last Name *
Your answer
First Name *
Your answer
Relationship to Child *
Primary Phone *
Your answer
Alternate Phone
Your answer
Email *
Your answer
Parent/Guardian Information: Contact #2
Last Name
Your answer
First Name
Your answer
Relationship to Child
Primary Phone
Your answer
Alternate Phone
Your answer
Email
Your answer
Program Information
Which camp session(s) will your child attend? *
Required
Child's T-Shirt Size *
How did you hear about Gallatin Valley Farm to School's Summer Camps? *
Required
Is there anything else you'd like to tell us concerning your child's participation in this camp?
Your answer
Waiver and Release
Vehicle Permission: I grant Gallatin Valley Farm to School staff and volunteers permission to drive my child to teaching sites such as farms and gardens during the camp. *
Required
Refund Policy: I understand that the program enrollment fee is nonrefundable unless cancellation occurs 30 days prior to the camp start date. For all cancellations prior to the 30 days there is a $30 nonrefundable administrative fee. Enrollment fee is transferrable with organization approval. *
Required
Photo Release: I grant Gallatin Valley Farm to School and volunteers the right to take photographs of my child in connection with the camp. I agree that Gallatin Valley Farm to School may use such photographs of my child for any lawful purpose, including for example such purposes as publicity, illustration, advertising and web content. *
Required
Waiver: I acknowledge that my child’s participation in this program involves being outdoors for the duration of camp time. Field trips to farms and activities in the garden may involve walking or running on uneven surfaces, bending or twisting, and exposure to heat and sun. Participants will also be touching plants, observing insects, and preparing homemade snacks on a daily basis. I am aware of the risks and hazards of participation in this program. I understand that my child’s participation in this program is voluntary and at my or my child’s own risk. I hereby release Gallatin Valley Farm to School, its volunteers and camp leaders from any liability resulting from my child’s participation in this camp. I authorize program staff to secure or provide emergency medical treatment if deemed necessary for my child’s immediate care. *
Required
Enter your full name to serve as your electronic signature *
Your answer
Date *
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A copy of your responses will be emailed to the address you provided.
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