2024 Fall Camp Days!

Our Fall Camp Days are ideal for ages 6-11 (grades 1st - 6th).

Please register each participant individually.

You may register for one day or all 3!

IF A SESSION IS FULL, YOU WILL AUTOMATICALLY BE PLACED ON A WAIT LIST AND WE WILL NOTIFY YOU IF A SPACE OPENS.

Please select the day(s) of Fall Camp you will be attending: Cost: $74 per day. If a camp day is listed as CAMP FULL, you will automatically be placed on the waitlist and no money will be processed. *

Monday, October 14th

Thursday, November 7th

Friday, November 8th

Extended Care: Our camp day runs from 8:30am - 4pm. Our extended care options allow families to start the camp day as early as 7:30 am and go as late as 5:30 pm. (Please indicate the number of days you will need extended care.)

	Morning Care ($8)
	Afternoon Care ($12)

Current Total:

$0.00

Camper/Parent Information

Camper Information:

Last Name *

First Name
*

Preferred Pronouns *

Grade *

Date of Birth (mm/dd/yyyy) *

Age *

School: *

Parent Information:

Last Name *

First Name *

Primary Phone Number *

Secondary Phone Number

Email Address *

Confirm Email Address *

Street Address *

City *

State *

Zip Code *

Country *

Emergency Contact Name *

Emergency Contact Phone Number *

Alternate Number

How did you hear about Fernbrook Farms' Fall Break Camp? *

Photo Release:
I give Fernbrook Farms Environmental Education Center permission to use photographs or video footage of my child for any promotional or other legitimate reason. *

Minor Participant Waiver:
Please read the follow waiver and select agree in order to have your child participate.
Minor Participant Waiver *

Medical Information

Please indicate any information regarding medications, allergies, physical disabilities, or restrictions that the instructor should know about. *

Please list any behavioral or other pertinent information that Fernbrook staff should know to help ensure your child has a positive camp experience. *

In case of an emergency, I give my permission to have my child receive first aid and be transported to the nearest hospital by professional, emergency personnel. I understand I will be financially responsible for the cost of such treatment. *

Please consider making a donation to Fernbrook Farms Environmental Education Center.

Fernbrook Farms Environmental Education Center (FFEEC) is a non-profit 501-c-3 organization committed to providing hands-on educational experiences to all young people and needs and welcomes gifts of every amount from all friends. Small and large gifts multiply into major support for the important work of FFEEC's programs. All donations are tax deductible.

All the staff at FFEEC thank you for your generous support!

Donation Amount:

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