Miner Farms - Farm Camp Registration 2025

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FARM WAIVER WILL NEED TO FILLED OUT AND SIGNED THE FIRST DAY OF CAMP!!!

Email *

Child First Name *

Child Last Name *

Child Age *

Parent Name (First and Last) *

Parent Phone Number *

Emergency Contact Name *

Emergency Contact Phone Number *

Food Allergies *If none, enter "none" *

Shirt Size *

Child X-Small

Child Small

Child Medium

Child Large

Child X Large/Adult X Small

Adult Small

Adult Medium

Adult Large

Adult XL

Child's Grade (Entering) *

Pre - K (Accompanying adult required)

Kinder (Accompanying adult required)

1st

2nd

3rd

4th

5th

6th

Farm Camp Week (1st Choice) *

Session 1 ( June 9th - June 13th)

Session 2 (July 7th - July 11th)

Farm Camp Week (2nd Choice) *

Session 1 (June 9th - June 13th)

Session 2 (July 7th - July 11th)

None - Take my student off the list if 1st choice is unavailable

I will make sure we arrive early (about 8:50am) to fill out and sign a farm waiver for my child the first day of camp. *

Payment Option (Must be paid in full to reserve spot) 3% fee added to all electronic payments. *

Venmo: @minerfarms; verification phone number 8302129846 ($206 total including fee)

CashApp: $MinerFarms comes up as Miner Farms/14 Hand Ranch ($206 total including fee)

Zelle: 8302129846 (Christine Sanchez) ($206 total including fee)

Invoice for Payment sent to email for Paypal ($206 including fee)

Invoice for Payment sent to email: Cash/Check ($200)

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