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Summer Farm Camp Registration 2026
Registration, Release and Waiver of Liability and Indemnity Agreement for Summer Camp at Kelly's Working Well Farm
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Camper Info
Child's First Name
*
Your answer
Child's Last Name
*
Your answer
Address
*
Your answer
City/State/Zip
*
Your answer
Primary Phone
*
Your answer
Birthdate
*
Your answer
Camp Weeks
Which camp are you attending?
*
Day Camp: Ages 5-14 (M-F 9am-3pm) // Select Week(s) in the next section
Permaculture and Entrepreneurship Camp: Ages 12-18 June 22rd - 26th 9-noon ($250)
Extended day (noon to 3:00 pm) for Permaculture and Entrepreneurship Camp ($100)
Which week(s) are you attending? (Note - there is no camp the week of June 29th)
*
1st Week - June 8th - 12th
2nd Week - June 15th - 19th
3rd Week - June 22nd - 26th
4th Week - July 6th - 10th
5th Week - July 13th - 17th
6th Week - July 20th - 24th
7th Week - July 27th - 31st
8th Week - August 3 - August 7th
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Price Structure
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