2023 Winter Break Camp Days - January 13th & 16th, February 17th, 20th, & 21st

Our Winter Break Camp Days are ideal for campers aged 6-11 years old in grades 1st-6th. Please register each participant individually.

You can register for one or more days now. If you decide to add days later, you can simply call us to update your registration. You do not need to fill in another form for the same camper.

Please select the day(s) of Winter Camp you will be attending: Cost is $72 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. *

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
*

Gender *

Date of Birth (mm/dd/yyyy) *

Age *

School *

Grade *

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's Programs? *

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 *

Other Important Information

If not applicable, please put N/A.

Please indicate any information regarding medications, allergies, physical disabilities, or restrictions that our staff 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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