Minnesota Agricultural Interpretive Center - Farmamerica

Registration

We are excited for your child to join us for the Beyond the Barn Day Camp at Farmamerica!

Number of Kids Registering

*

$200 - 1 Child

$380 - 2 Children

$180 - 1 Child - Current Member/Passholder*

$340 - 2 Children - Current Member/Passholder*

Displayed Total is for all children. Siblings are an additional $180 for general tickets or $160 for members/season passholders.

*Must have a current Family Season Pass or Family Voting Membership to receive discount.

Child Information

Child's Name

*

First Name

Last Name

Child Grade

*

The grade your child will be entering in the fall of 2023

Child's Preferred Pronouns

*

Second Child's Name

*

First Name

Last Name

Second Child's Grade

*

The grade your child will be entering in the fall of 2023

Second Child's Preferred Pronouns

*

Parent Information

Please fill out the following information about yourself as the child's first Emergency Contact.

Parent's Name

*

First Name

Last Name

Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Parent's Email

*

Verify Email

*

Parent's Phone Number

*

Please list the best phone number to reach you during the camp time in case of emergency

Secondary Emergency Contact

In case of an emergency, if you are unable to be reached, please list a second adult we can contact. By listing the person here, you are also authorizing them to pick up your child from Farmamerica, if needed.

Secondary Emergency Contact's Name

*

First Name

Last Name

Secondary Emergency Contact's Relationship to Child

*

Secondary Emergency Contact's Phone Number

*

Additional adults authorized to pick up student

Please list any adults (besides yourself and the secondary emergency contact listed above) you are authorizing to pick up or drop off your student from the Day Camp. Any individual not on this list will not be able to pick up your student nor get any information about the student being at Farmamerica. Please note that we may check ID for anyone picking up your child for their safety.

Full Name of Authorized Adults

Only those on this list, plus yourself and the Secondary Emergency Contact, may pick up, drop off, or receive any information regarding your child while at Farmamerica.

Medication and Allergies

Please provide any information below that Farmamerica Staff will need while caring for your child during this time or in case or emergency.

Will the Student require any medication given during camp hours?

*

Yes

No

Medications needed during camp hours

Please list any medications (prescription or over the counter) that your child will need during camp hours. We will be in further contact regarding administering this medication.

Are there any allergies that we should be aware of?

*

Including food allergies or environmental allergies.

Yes

No

Please describe your child's allergies

Any additional information we should be aware of?

Please let us know if there is anything else you think Farmamerica staff should be aware of while caring for your child or in case of an emergency.

Expectations and Policies

All campers are expected to:

Show respect to all campers and staff during their time at Beyond the Barn Day Camp
Follow the daily camp schedule and remain with their camp group at all times. Even if a camper chooses not to participate in any given activity, they must remain with their group.
Leave all personal electronic devices at home (ex. Cell phones, tablets, gaming devices)
Use appropriate language and actions when engaging in activities or communicating with staff or other campers at Beyond the Barn Day Camp.
Work together with staff and other campers in a respectful manner to resolve any conflicts that may arise.
Follow all safety procedures as set forth by Beyond the Barn Day Camp staff.
Refrain from the use of violence and/or profanity in the form of words or deeds. Disrespectfulness or any other behavior that endangers the safety of campers and staff is not acceptable.
Not bring any alcohol, drugs, cigarretts, vaping pens or any weapons onto Farmamerica proeprty. Smoking, vaping, drug/alcohol use, or threats of any kind will not be tolerated.

If your camper violates these expectations, you will be contacted and will need to pick your camper up immediately.

As an Authorized Guardian of the camper

I agree that my child has permission to participate in all camp activities.
I understand that there may be animals (domestic and wild) and machinery at camp.
I understand that these features and the activities at Beyond the Barn Day Camp may include some risk of injury to my child.
I authorize Farmamerica staff to secure emergency medical care at my expense in case of an emergency.
I understand that Farmamerica may use my child’s photo in promotional materials and/or social media.
I acknowledge and am responsible for informing Farmamerica of any and all special needs (health, dietary, etc.) that my child has and what needs to be done for those needs. I have listed these needs on this form and will contact Farmamerica if there are any changes between now and when Camp starts.

Agreement to Camper and Guardian Expectations

*

I agree, on behalf of my child, that we will follow all of the Camper and Guardian Expectations as listed above.

Cancellation and Refund Policy

If your child leaves camp early or arrives late, there will be no full or partial refunds. This includes reasons such as accident, homesickness, behavior problems, other last minute conflicts or camper/parent request.

If a serious, unexpected medical event arises that requires cancellation, a refund may be considered. Written notification from the family and physician is required.

In all other cases, a refund will only be issued under the following circumstances:

Cancellation more than 1 month prior to the start of camp shall receive a 75% refund.
Cancellation within 14-30 days prior to the start of camp shall receive a 50% refund.
Cancellation with less than two weeks notice prior to the start of camp, will not be eligible for any refund (with the exception of an unexpected medical event listed above).

We appreciate your understanding. If you have questions regarding cancellation, please contact us at 507-835-2052 or at info@farmamerica.org

Agreement to Cancellation/Refund Policy

*

I agree to the Cancellation/Refund Policy as listed above.

Payment Processing Fees

Farmamerica is a non-profit organization with a mission to connect Minnesotans to the evolving story of agriculture through hands-on educational experiences, partnerships, and community engagement. This mission extends to include our Beyond the Barn Day Camp to allow your child to experience agriculture in a fun atmosphere.

As part of collecting fees for the Day Camp online in a quick and convient manner, we do experience some fees. We ask that you consider covering the payment processing fees so that more of your registration payment may go directly to Farmamerica to continue to put on programs like this in the future.

We thank you for your consideration.

Beyond the Barn Day Camp 2023

Registration

Child Information

Parent Information

Secondary Emergency Contact

Additional adults authorized to pick up student

Medication and Allergies

Expectations and Policies