2018 April Vacation Farm Camp Registration Form
Email address *
Parent/Guardian Name *
Your answer
Address *
Street, City, Zip
Your answer
Phone Number: *
Your answer
Child(ren)'s Name(s) & Age(s) *
Your answer
Emergency Contact: *
Please include name and number
Your answer
Days attending *
Please select the days the child will attend or select "Full Week"
Required
Method of Payment *
A copy of your responses will be emailed to the address you provided.
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