Summer Day Camp & Registration Form - Deer Meadow Farms

Jr Farmer Day Camp Registration

GO TO ONLINE PAYMENT

Registration is confirmed ONLY when payment is received.
The Online Store will tell you if space is available.

* Indicates required field

Child 1 *

First

Last

Child 2 (If Applicable) *

First

Last

MB Health # Child 1 *

MB Health # Child 2 *

Birthday (8-12yrs) Child 1 *

Birthday (8-12yrs) Child 2 *

Name of Parent or Guardian *

Phone Number *

Email *

Week *

July 12-16 Aug 3-6 (4 Day week) Aug 30-Sept 3

Health Comments *

Submit