CURRENT HOURS: TUES-SAT • 9am–4pm • Last tractor cart leaves at 2pm

Camper Information Form

  • Registration for day camp is not complete until we receive this form.
  • Please submit this form as soon as possible after purchasing your child’s ticket for camp.
  • Your child will not be allowed to begin camp on Day One without this form on file.
  • Only fill out one form per child

Camper Information Form

CAMPER & PARENT INFORMATION
Camper's birthday(Required)
For Summer camp select grade in Fall. For Spring and Winter break camp select current grade.
First and Last
First and Last
All camp-related emails will be sent to this address.
Please provide any other information we need to make camp successful for your child (example: a request to place your child in the same group as a friend, which will be taken into consideration)
They must present a photo ID at pick up.
POLICIES
EMERGENCY & HEALTH INFORMATION
Other than parent(s), within a 30-minute drive | First and last name
This number will be called if we can not reach a parent/guardian in an emergency or if camper is ill.
Please bring a daily dosage of medication. Counselors are not authorized to dispense or to monitor the taking of medications, but will remind campers to take them.
(This question is required by the American Camp Association as part of Living History Farms' accreditation.)
(This question is included as part of our accreditation by the ACA.)
(This question is included as part of our accreditation by the ACA.)
(This question is included as part of our accreditation by the ACA.)
(This question is required by the American Camp Association as part of Living History Farms' accreditation.)
AUTHORIZATION FOR TREATMENT
I hereby give my permission to the medical personnel selected by the Day Camp Coordinator to order x-rays, routine tests, treatments, and necessary transportation for the child named above. In the event I cannot be reached in an emergency, I hereby give permission to the physician selected by the Day Camp Coordinator to secure and administer treatment, including hospitalization, for the child named above.
Signature typed here constitutes a legal and binding signature.
MM slash DD slash YYYY
American Camp Association Accredited
Living History Farms Day Camp program is accredited by the American Camp Association, the only nationwide organization that accredits all types of organized camps.

 

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