Form - Toddler Sprout Summer Camp

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

Session 1 - June 9th - 12th

Session 2 - July 21st - 24th

Session 1 - June 17th - 20th (Mon-Thurs)*

Price:

Are you in the military or registering a sibling in camp this year?*

Only one discount available per family

No

Military

Sibling

Subtotal

Parent/Guardian Info

Parent/Guardian Name (s)*

Parent/Guardian Phone Number*

Parent/Guardian Address*

Street Address Address Line 2 City State ZIP Code

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:

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

Your Electronic Signature*

Today's Date*

Your Relationship to the Camper

Parent

Legal Guardian

Other

Billing Name

First Last

Your Email

Billing Address

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

Coupon Code

Total

Credit Card

Feed Required: To use the Square field, please create a Square feed for this form.

Phone

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

Registration Form

Toddler Summer Camp

2025 Mommy Toddler Camp Registration Form

Parent/Guardian Info

Permission to Release Camper

Camper's Info

Parent Signature

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