Red Barn Farm Camp Registration 2019
Farm Camper Last Name *
Your answer
Farm Camper First Name *
Your answer
Home Address *
Your answer
Birthdate *
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Gender *
T-shirt Size (included in camp cost) *
Parent(s)/Guardian(s) *
Your answer
Parent(s)/Guardian(s) contact # *
Your answer
Primary Email *
Your answer
Other Emergency Contact(s) *
Your answer
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:
Your answer
Health insurance carrier:
Your answer
Policy number:
Your answer
Group ID # (if applicable):
Your answer
Does the camp have any allergies? If yes, what are the allergies?
Your answer
Does the camper have any special needs?
Date of last tetanus shot:
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Farm Camp Tuition
$250 per week (camp runs Monday-Thursday, 9am to 2pm)
$200 per week (camp runs Monday-Thursday, 9am to 2pm) for sibling registered in the same week

15% discount off full tuition if registered by March 1st, 2019

$50 non-refundable deposit is required for each camper to confirm spot. The remaining balance is due by June 1st, 2019.
Camp is Monday-Thursday from 9am to 2pm. Dates and age groups are listed below: *
Refund Policy
Refunds will be given up to 3 weeks before the date of your camp start date (less the $50 non-refundable deposit). 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: *
Required
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