Form - 2025 Summer Camp - The Red Barn Farm

Which camp adventure is right for your child?*

Todler Sprout

Animal Explorer

Which Week(s) are you interested in registering for your Animal Explorer?*

Session 1 - June 2nd - 6th

Session 2 - June 9th - 13th

Session 3 - June 23rd - 27th

Session 4 - July 21st - 25th

Which Week(s) are you interested in registering for your Todler Sprout?*

Session 1 - June 9th - 12th

Session 2 - July 21st - 24th

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Session Quantity

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Session Quantity

How many children are you registering for this sessions?

One Child

Two Children

Three Children

Four Children

How many children are you registering for this session?

One Child

Two Children

Three Children

Four Children

Are you in the military or registering for multiple weeks?

Only one discount available per family

No

Military

Multiple Weeks

Extended Week

$50 - Extend pick up time from 3pm to 5pm for the week

No, Keep 3pm Pick Up Time

Yes, Add 5pm Pick up Time

Extended Week

$50/per child - Extend pick up time from 3pm to 5pm for the week

No, Keep 3pm Pick Up Time

Yes, Add 5pm Pick up Time

Extended Week

$50/per child - Extend pick up time from 3pm to 5pm for the week

No, Keep 3pm Pick Up Time

Yes, Add 5pm Pick up Time

Extended Week

$50/per child - Extend pick up time from 3pm to 5pm for the week

No, Keep 3pm Pick Up Time

Yes, Add 5pm Pick up Time

Subtotal

Parent/Guardian Information

Parent/Guardian Name (s)*

Phone Number*

Your relationship to the camper:*

Mother

Father

Legal Guardian

Camper(s)*

Provide a list of the campers' names.

Parent/Guardian Address*

Street Address Address Line 2 City State ZIP Code

Parent Signature

Your electronic signature states that you have completed this form and the information you provided is correct. Your signature also gives the Red Barn Farm the right to photograph and create video of campers for social media purposes.

Type Your Name

Today's Date*

Your Electronic Signature*

Upload Camper Health Information

Please complete the following steps to provide us with the necessary information about your camper(s). If you have more than one camper, kindly submit a separate form for each.

Step 1: Download the Fillable Intake Form

Click the button below to download the fillable intake form. This form allows you to provide detailed information about your camper.

Download Intake Form PDF

Note: This is a digital form that you can download, fill out, and send back to us. There’s no need to print a hard copy.

Step 2: Upload the Completed Intake Form(s)

After filling out the form, upload the completed PDF(s) below.

Note: If you are enrolling multiple campers, please upload a separate completed form for each camper.

File*

Drop files here or

Max. file size: 10 MB, Max. files: 10.

Additional Information

Emergency Contact #1 Name*

Emergency Contact #1 Phone Number*

Emergency Contact #2 Name

Emergency Contact #2 Phone Number

Permission to Release Camper

All adults picking up campers will need to show ID prior to any camper being released for dismissal. We appreciate your support as our number one concern is the safety of your child.

The following people HAVE PERMISSION to pick up my child:*

The following people DO NOT HAVE PERMISSION to pick up my child:

Billing Name*

First Last

Your Email*

Billing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Total

Credit Card*

Cardholder Name

Card Details

Name

This field is for validation purposes and should be left unchanged.

Registration Form

Summer Camp 2025

Parent/Guardian Information

Parent Signature

Upload Camper Health Information

Additional Information

Permission to Release Camper

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