Red Barn Learning Farm
Sign in to Google to save your progress. Learn more
Camper Last Name *
Camper First Name *
Birthdate *
Gender *
Address *
T-shirt Size (included in camp cost) *
Parent(s)/Guardian(s) *
Parent(s)/Guardian(s) contact # *
Primary Email *
Other Emergency Contact(s) *
Health Insurance/Waiver
I agree that my camper has permission to participate in all camp activities. I understand that farm activities carry certain risks. I authorize Red Barn Learning Farm Inc. to 1) To secure emergency medical care, at my expense, if I am unable to be reached during an emergency 2) To use camper's photo (no names will be listed) in promotional material 3) I release Red Barn Learning Farm Inc., it's owners, employees and volunteers from any claim arising from my campers participation in Red Barn Farm Camp.
Electronic Signature agreeing to waiver: *
Insurance Policy number/Group ID #: *
Does the camp have any allergies? If yes, what are the allergies? *
Does the camper have any special needs or need special accommodations? *
Date of last tetanus shot: *
Farm Camp Tuition
$80 per day (day camps run 9am-3pm). Total due at the time of registration.

$260 per week (camp runs Monday-Thursday, 9am to 2pm)
$210 per week (camp runs Monday-Thursday, 9am to 2pm) for sibling registered in the same week

$100 non-refundable deposit is required for each camper to confirm spot for 4-day camps. The remaining balance is due by June 1st, 2022. You will be invoiced for this after your deposit is paid.

Camp Sign Up: Day camps are from 9am to 3pm, 4-day camps are from 9am-2pm (Mon-Thur) Select a date(s) below: *
Refund Policy
Refunds will be given up to 3 weeks before the date of your camp start date (less the $100 non-refundable deposit for 4-day camps). Refunds are not given to campers that do not finish a camp session due to personal or behavioral reasons.
Farm Camp Rules
We want to ensure that all children, staff and animals are safe during farm camp. We want to provide an atmosphere of learning and fun! Please review these rules with your camper prior to their arrival at camp.

~ NO electronics, toys or cell phones. Please keep these items at home so your camper can enjoy the whole experience of the outdoors and the farm.

~ All campers must stay with their group. Even if a camper chooses not to participate in an activity, they must still stay with the group.

~ Respect all animals, farm, other campers and staff.

~ All campers must ask for permission to enter animals pens.

~ The farm must stay clean! Please make sure all trash make it into the proper refuse container.

I have read  and agree to the camp rules: *
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy