Traditional Camp (ages 4-11 years) Check the date(s) you wish to attend.
All days are 9:30am to 2:30pm
Fri., March 30___ Mon., April 2___ Tues., April 3___ Wed., April 4___ Thurs., April 5___ Fri., April 6___
Youth Camp
(ages 12-15 years)
Please print clearly:
Name of parent(s) or guardian(s)____________________________________________________________________________
Address:_______________________________________________________________________________________________
(# and Street) (City, State) (Zip)
Cell Phone ____________________________________ Email__________________________________________________
ChildŐs grade: _____________ ChildŐs age: _____________ ChildŐs date of birth: ____________________
In case of emergency we call the
above phone numbers OR: (please list an alternate)
Name:_________________________________________________________ Phone:________________________________
Physician's Name:_________________________________________________ Phone:_________________________________
Does the child have allergies,
special needs, or other restrictions? Yes
No
If ŇyesÓ, what are they?_____________________________________________________________________________________
(If needed, please use the back of this registration form to
describe the restrictions.)
Child's current medications/reasons____________________________________________________________________________
Sunrock Farm reserves the right (1)
to refuse registration for health reasons. For example, the farm environment
may not
Camp fee is $50 per day. Please send check/money order (sorry no charge cards) along with this form to:
Sunrock Farm, 103 Gibson Lane, Wilder, KY 41076 Phone: 859-781-5502 Fax: 859-572-0260
Refund Policy: There will be a $20 per camper
non-refundable processing fee charged for cancellations.