Farm Camp Registration Form

  • Camper Information

  • Primary Legal Guardian Information

  • Emergency Contact Information

    Must be different from the primary legal guardian
  • Authorized Pick-Up

    Please indicate up to two drivers that may drop off or pick up the camper, even if the same as contacts above. These will be the only individuals allowed to pick up your camper. If there are any changes to this information, please submit it in writing from the primary legal guardian’s email address or via a signed note at least 24 hours in advance of the change.
  • Health Information

    By fully sharing your campers medical and behavioral needs, you are allowing us to best support them. We cannot plan for special accommodations if we don’t know what is needed. Please give us all significant health information, even if it does not seem relevant. Safety of all our campers is a top priority. Carnation Farms’ staff are trained in CPR and First Aid, however there is no registered nurse on site. Carnation Farm’s staff are not authorized to administer medications to campers, however we can remind campers that it is time to take doses and we can hold those doses in a lock box when not in use. Medication must be clearly labeled with your child’s name. Campers with specific medical needs are able to attend with a caregiver at no additional cost.
  • By submitting this form I authorize staff in the child care program who are trained in the basics of first aid/CPR to give my child first aid/CPR when appropriate. I understand that every effort will be made to contact me in the event of an emergency requiring medical attention for my child. However, if I cannot be reached, I hereby authorize the program to transport my child to the nearest medical care facility and to secure necessary medical treatment for my child.
  • In order to keep all campers safe during their time on the farm, Carnation Farms staff will outline safety procedures and rules on a daily basis. Carnation Farms has the right to send home campers who do not adhere to safety procedures and therefore risk injuring themselves or another camper. If a camper is not following safety procedure and is unable to respond to coaching from staff, parents will be contacted and asked to speak to their camper about the issue. If the camper continues to break safety rules, the camper will be sent home and no refund will be issued.
  • Carnation Farms Informed Consent and Release of Liability Documents

    In order to keep all campers safe during their time on the farm, Carnation Farms staff will outline safety procedures and rules on a daily basis. Carnation Farms has the right to send home campers who do not adhere to safety procedures and therefore risk injuring themselves or another camper. If a camper is not following safety procedure and is unable to respond to coaching from staff, parents will be contacted and asked to speak to their camper about the issue. If the camper continues to break safety rules, the camper will be sent home and no refund will be issued.
  • Payment Information

  • A deposit of $50 is due at the time of registration. Please choose which of the pricing options below best suits their family. An invoice for the remaining balance will be sent over once registration is confirmed.
  • Value-Added Price ($425) Our goal is to provide programming at a price affordable for all families. By contributing at this price, your additional payment will goes towards the scholarship fund for Farm Camp, allowing more campers to enjoy our programming.
  • Regular Price ($380) Includes all programing, play, and dirty hands. Price for July 5-8, will be $300.
  • Reduced Price ($100 - $300) Carnation Farms offers limited need-based scholarships for our Farm Camps. Please register by choosing this option below and we will contact you for more information.
  • Payment Selection

  • Thank you for taking the time to complete this form.

    Once your form has been reviewed we will send you an invoice for the remainder of your payment. We will send out more details like what to bring each day and directions to the farm when we are closer to your camp week. If you have any questions please reach out to education@carnationfarms.org
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