subject_line
Sweet Grass Dairy Farm Camp 2017
Participant Information
First Name
Last Name
Birth Date
+
Participant's T-Shirt Size
*
Y-XS
Y-S
Y-M
Y-L
Y-XL
Please choose participant's age group. This choice should reflect where your camper is during the 2016-2017 school year. (All participants should be "potty trained" prior to attending camp)
*
Age 3 - Busy Bees (17 remaining)
Pre K - Beautiful Butterflies (24 remaining)
Kindergarten - Wriggly Worms (18 remaining)
1st Grade - Cheerful Chickens (17 remaining)
2nd Grade - Gabby Goats (20 remaining)
Does the participant have any dietary/medical needs or restrictions? Please be as detailed as possible.
*
Household / Adult Primary Contact
Relationship to Participant:
*
Self
Mother
Father
Guardian
Other
Other
First Name
*
Last Name
*
Address 1
*
Address 2
City
*
State
*
Zip
*
Phone
Alternate Phone
Email Address
*
Credit Card Number
*
Expiration
*
Powered by
Report abuse