Plainsong Farm · 2023 Farm Camp Registration

2023 Farm Camp Registration

Welcome to Farm Camp! We offer 5 different weeks of Farm Camp. Each camp runs Monday-Thursday 9am-3pm right here on the farm (6677 12 Mile Rd NE, Rockford), except for week 1 which is 9am-noon. Week 1 is $120/camper and weeks 2-5 are $240/camper/week.

Week 1: Little Gardeners (entering 1st and 2nd grade) June 19-22
Week 2: Earthkeepers (entering 3rd and 4th grade) June 26-Jun 29
Week 3: Jr. Master Gardeners (entering 5th and 6th grade) July 10-13
Week 4: Earthkeepers (entering 3rd and 4th grade) July 17-20
Week 5: Jr. Master Gardeners (entering 5th and 6th grade) August 7-10

*If you are interested in a payment plan, please contact hello@plainsongfarm.com before filling out this form.

Contact Information

Parent/Guardian Name

First Name

Last Name

Parent Email

Verify Email

Emergency Phone #

Please list a number where you can be reached in case of an emergency.

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Child #1:

First Name

Last Name

Child #1 Age:

At time of Farm Camp

Which week will Child #1 be attending?

Week 1 (June 19-22)

Week 2 (June 26-29)

Week 3 (July 10-13)

Week 4 (July 17-20

Week 5 (August 7-10)

Child #1 - Please list any allergies or special needs we should be aware of:

Child #2:

First Name

Last Name

Child #2 Age:

At time of Farm Camp

Which week will Child #2 be attending?

Week 1 (June 19-22)

Week 2 (June 26-29)

Week 3 (July 10-13)

Week 4 (July 17-20

Week 5 (August 7-10)

Child #2 - Please list any allergies or special needs we should be aware of:

Child #3:

First Name

Last Name

Child #3 Age:

At time of Farm Camp

Which week will Child #3 be attending?

Week 1 (June 19-22)

Week 2 (June 26-29)

Week 3 (July 10-13)

Week 4 (July 17-20

Week 5 (August 7-10)

Child #3 - Please list any allergies or special needs we should be aware of:

Child #4:

First Name

Last Name

Child #4 Age:

At time of Farm Camp

Which week will Child #4 be attending?

Week 1 (June 19-22)

Week 2 (June 26-29)

Week 3 (July 10-13)

Week 4 (July 17-20)

Week 5 (August 7-10)

Child #4 - Please list any allergies or special needs we should be aware of:

Payment - If you have multiple children attending, please select the appropriate quantity *	Quantity
$120 - Week 1 only
$240 - Weeks 2-5

If you selected other, please specify:

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*Please be prepared to enter your payment information on the next page before hitting the green button below.*