Online Winter Farm Camp Registration – 2019 – Hart to Hart Farm and Educational Center

Please fill in the form below to secure your child’s spot at one of our summer sessions. Upon submitting registration you will be sent to a secure Paypal page to complete your transaction. Please note that you don’t need a Paypal account.

2019 WINTER Camp Registration Form (2)

Name*
First Last
Gender*
Date of Birth*
Date Format: MM slash DD slash YYYY
Grade in the Fall*
T-Shirt Size*
- Youth Med
- Youth Large
- Youth X Large
- Adult M
- Adult Large
- Adult X Large
- Adult 2X Large
PARENT(S) / GUARDIAN(S) information & BILLING INFORMATION
Parent(s) / Guardian(s)*
First Last
This field is used as billing information
Email*
Address*
Street Address Address Line 2 City State ZIP Code
Relationship to Camper*
Phone (Primary)*
Phone (Secondary)
SELECT A CAMP SESSION(S)
Product Name
Would you like to pay your registration fee in full or a deposit today?*
Registration with Payment in Full
WINTER FARM CAMP ($275 per session)
- Session I: Feb 19 -22, 2019
Registration with Deposit
WINTER FARM CAMP ($275 per session, $50 Deposit)
- Session I: Feb 19 -22, 2019 (DEPOSIT)
Comment Section
Additional Comment/Inquiry?
Please use this box if you'd like to make a comment and/or ask a question. Thank you.
SORRY THESE SESSIONS ARE FULL!!!
*** BEFORE CLICKING ON THE SUBMIT BUTTON BELOW, PLEASE DOUBLE CHECK YOU SELECTED THE CORRECT CAMP SESSION(S) ABOVE! - THANK YOU!***
Credit Card Charges $1.80
Credit Card Charge $8.60
Total (FULL TUITION)
$0.00

Online Winter Farm Camp Registration – 2019

2019 WINTER Camp Registration Form (2)

SELECT A CAMP SESSION(S)

Registration with Payment in Full

Registration with Deposit

Comment Section