Summer Day Camp & Registration Form - Deer Meadow Farms

(204) 224-2517

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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 *

Birthdate (8-12yrs) Child 1 - D/M/YR *

Birthdate (8-12yrs) Child 2 - D/M/YR *

Name of Parent or Guardian *

T Shirt Size *

Child Small Child Med Child Lrg Child Xtra LG Adult SM

Phone Number *

Email *

Week *

July 4-8 July 11-15 July 18-22 July 25-19 Aug 2-5 Aug 8-12 Aug 15-19 Aug 22-26 Aug 28-Sept 2

Health Comments *

Please list any medical conditions our staff will need to be aware of including allergies and medications and so forth.

I agree to receiving marketing and promotional materials

Submit

Location