Camper Information

First Name*

Last Name*

Gender*

MaleFemaleOther

Date Of Birth*

Email*

Phone Number*

Address*

Address Line 1*

Address Line 2

City*

State or Region*

Country*

Zip*

Grade Level:*

School Name:*

Parent/Guardian Full Name:*

Parent's Phone Number:*

Camp Session Information

Which camp session are you registering for?*

Session 1: June 5 - June 19Session 2: July 10 - July 24Session 3: August 7 - August 21

Camp Time Preference:*

Morning (9 AM - 12 PM)Afternoon (1 PM - 4 PM)Full Day (9 AM - 4 PM)

Has your child ever participated in gardening activities before?*

YesNo

What aspect of gardening does your child find most exciting?*

What are your child’s goals for attending the Gardening Camp?*

Is there a particular gardening project your child would like to work on during the camp?*

Does your child enjoy working in group activities or prefer working independently?*

GroupIndependentBoth

please describe the medical condition or allergy and any required precautions:

Terms and Conditions*

I give permission for my child to participate in all activities during the Gardening Camp.I give consent for my child’s photos/videos to be taken during camp activities and used for promotional purposes.I understand that my child will be supervised during all camp activities and that reasonable safety precautions will be taken.

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