Yoga Camp Registration Form
Welcome to the official registration form for Taking Root & Taking Flight Yoga Camps! Two wonderful and wholesome yoga camp for kids ages 6-9 and 10-13.

Throughout the week we will participate in daily yoga classes, swim in a pool, hike on the enchanting nature trail, spend time in the gardens, create a healthy kitchen treat, journal and participate in yoga/farm-themed art activities...all the while keeping yoga in mind and enjoying the beautiful and natural setting!
Space is limited, so register early!

TAKING ROOT is a yoga camp for kids ages 6-9, or entering 1st through 4th grade. It will take place from June 25th-29th, 9am-3:30pm.

TAKING FLIGHT is a yoga camp for kids ages 10-13, or entering 5th through 8th grade. It will take place from July 9th-13th, 9m-3:30pm.

Both camps will take place at Field to Fork Farm, 522 Haverhill Road, in beautiful & peaceful Chester, NH.

Camp is $200 for the week (Sibling discounts are available and taken into account on the registration form).

Email address *
How many children will you be registering? This is the amount of children you are registering for one or both of the camps. (Children need to be part of the same family) *
Taking FLIGHT Camp (ages 10-13, entering 5th-8th grade): Please list the children you are registering for this camp. Include children's First & Last Name(s) and age - Please separate with commas
Your answer
Taking ROOT Camp (ages 6-9, entering 1st-4th grade): CURRENTLY FULL for 2018 - Please list the children you are registering for this camp. Include children's First & Last Name(s) and age - Please separate with commas
Your answer
Parent's First & Last Name(s)- Please separate with commas *
Your answer
Phone Number(s) - Please separate with commas *
Your answer
Address *
Your answer
Emergency Contact #1 - Name & daytime phone number *
Your answer
Emergency Contact #2 - Name & daytime phone number *
Your answer
Allergies? Yes or No? Please describe for each child. *
Your answer
Epipen? Yes or No? Please describe for each child. *
Your answer
Inhaler? Yes or No? Please describe for each child. *
Your answer
Please list any other medical (or important) conditions that I should be aware of , or any past or current injuries or limitations for each child. *
Your answer
PERMISSION *
Required
MEDICAL RELEASE *
Required
CANCELLATION POLICY *
Required
PHOTOGRAPHY RELEASE - Please choose one *
Required
ELECTRONIC SIGNATURE - Please type your name in full. This will serve as your signature and understanding of all items in this registration. *
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Additional Questions and/or Comments
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