2021 Junior Fiddlehead (ages 5-6) Summer Day Camp Registration Form

For a description of our camp protocols from 2020 under COVID-19, click here. As we approach the summer of 2021, we will continue to follow Department of Health, CDC, and American Camp Association best practices as we update our protocols for 2021.

Our Junior Fiddleheads program is designed specifically for 5-6 year-olds for a full-day program with the need, care and attention appropriate for their age. The Junior Fiddleheads will explore all aspects of our farm while engaging in nature rich activities led by experienced staff. Our hands-on activities are perfect for the emerging explorers of our natural world!

If a SESSION IS FULL*, you will automatically be put on the wait list and fees will not be processed for that week unless you are taken off the wait list.

*To make sure a week does not get overbooked, we have listed all sessions as full but we do have a couple spots in a couple weeks. You can register or contact us (609-298-4028 or education@fernbrookfarms.com) to find out what weeks have openings.

Week: *

1: June 28-July 2 ($438) - SESSION FULL

2: July 5-9 ($438) - SESSION FULL

3: July 12-16 ($438) - SESSION FULL

4: July 19-23 ($438) - SESSION FULL

5: July 26-30 ($438) - SESSION FULL

6: August 2-6 ($438) - SESSION FULL

7: August 9-13 ($438) - SESSION FULL

8: August 16-20 ($438) - SESSION FULL

9: August 23-27 ($438) - SESSION FULL

Total before discounts & additional options:

$0.00

Discounts (Click all that apply):

Early Registration

Before Jan. 15th (10%)

Jan. 16th-April 1st (5%)

April 1st-Summer (0%)

Multiple Weeks

5+ Weeks (10%)

2-4 Weeks (5%)

1 Week (0%)

Returning Camper

Returner (5%)

New Camper (0%)

Current CSA Member

Yes(5%)

No (0%)

Sibling Same Week

Yes (5%)

No (0%)

Military

Military Farmily(5%)

Not Military (0%)

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 weeks you will need extended care.)

*Note: Discounts do not apply to extended care.

	Morning Care: 7:30am - 8:30am ($18/week)
	Afternoon Care: 4pm - 5:30 pm ($30/week)

Transportation: Campers will arrive to camp by 8:30 am and depart camp at approximately 4:15 pm. Click here to learn more about our transportation. (Please enter the number of weeks that you will need transportation.)

*Note: Discounts do not apply to transportation.

Transportation ($65/week)

Final Total:

$0.00

Camper Information

First Name *

Last Name *

Age (during camp) *

Birthday (mm/dd/yy) *

Sex: *

School *

Grade (next fall) *

Previous summers at Fernbrook *

Photo Agreement * 🛈

Parent Information

Parent #1 Contact Information:

First Name *

Last Name *

Primary Phone # *

Secondary Phone Number *

Email Address *

Confirm Email Address *

Street Address *

City *

State *

Zip Code *

Address Line 2

Employer *

Parent #2 Contact Information:

First Name *

Last Name *

Primary Phone # *

Secondary Phone Number *

Email Address

Confirm Email Address

Street Address (If different from above.)

City

State

Zip Code

Address Line 2

Employer *

Non-Parent Emergency Contact Information:

First Name *

Last Name *

Relationship to You *

Primary Phone Number *

Secondary Phone Number *

How did you hear about Fernbrook Farms' Summer Camp? (Check all that apply.) *

Medical Information

If not applicable, please indicate N/A in the related field.

Please list all known allergies and treatment if exposed. *

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

Please list any past medical treatments that would pertain to your child's success at camp. *

Is your child fully up-to-date with all immunizations? * 🛈

My child's insurance carrier: *

Policy #: *

My child's physician's name: *

Payment Information

Name on Card *

Address on card: (if different from above)

Credit Card Type *

Credit Card Number *

Expiration Date (mm/yy) *

CVV *

For information on our registration and cancellation policies, click here.
Terms & Conditions (view here): *

Payment Options: Please choose one. *REMINDER: YOU MUST PAY IN FULL BY EARLY REGISTRATION DEADLINES TO RECEIVE THE EARLY DISCOUNT. *

Pay in Full NOW (You will automatically receive any eligible early bird discount.)

Pay 50% now and 50% on Jan. 15 (10% early registration discount.)

Pay 50% now and 50% on April 1st (5% early registration discount.)

Pay 50% now and 50% on June 1st (No early registration discount.)

Other (Call 609-298-4028 to set up your payment plan or to pay by check.)

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 & 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.

We thank you for your support!

Donation Amount

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Camp Fair: MFS	Camp Fair: Quakerbridge Mall	Camp Fair: Cherry Hill Mall	Camp Fair: Hopewell Valley HS
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