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Down on the Farm Inc.
Name:________________________________________
Age:______ Birthdate:__________ Parent’s
Name:_________________________________ Home Phone:__________________ Address:______________________________________ Work Phone:__________________ City:___________________________________________ Cell Phone:__________________ State:______________ Zip: ____________ E-mail: ________________________________ Friend(s) your would
like to come to camp with:____________________________________ MARK CAMP SESSION WITH 1st
and 2nd CHOICE IN ORDER OF PREFERENCE:
Circle & fill out payment information: Visa Mastercard Card#_____________________________ Exp:_________ Cash Check
Check#_________ Amount:_______ Remember
car pooling is a great way to save time and money getting your camper to and
from the farm. However, if this is not
an option we offer a shuttle service as an alternative for your convenience. At this time the shuttle service is
only available for full day campers! Is the shuttle service needed?
YES____ NO____ Shuttle
cost: $35.00
* Your child will be
returned to the farm if you fail to pick-up at scheduled times * Please read and sign this agreement. All children are
required to wear riding helmets, Down on the Farm, will provide them. A $15.00
fee will be charged for every 15 minutes after 3:00 that your child has not
been picked up. If you miss the shuttle
drop-off it will return to farm approximately at 4:30 p.m. A
non-transferable, non-refundable deposit of 50% ($130.00 for full day, $80.00
for half-day, or $167.50 for Wranglers) must accompany this registration and
the health form. A confirmation postcard, directions and balance due will
be sent upon receipt of deposit. Camp
fee balance is due 10 days prior to child’s first day of camp, NO EXCEPTIONS! I have read,
understand and agree to the terms of this registration as they relate to my
child.
Parent/Guardian:
____________________________________________ Date:_____________ |
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