FALL CAMP REGISTRATION
Step #1

Youth Camp Health History Form

Camper's Name(Required)
Current residence(Required)

EMERGENCY CONTACT INFORMATION

Emergency Contact Person(Required)
Primary Care Physician or other provider of medical care(Required)

HEALTH INFORMATION

Are there any pertinent health problems including physical, psychiatric, or behavioral problems of which we need to be aware?(Required)
Are there any medications, dietary restrictions, allergies, or special needs of which we need to be aware?(Required)

IMMUNIZATION INFORMATION

Do you currently reside within the United States, a United States territory, or the District of Columbia?(Required)

SIGNATURE

Your Legal Name(Required)
(If Camper is Under 18 Years)
Select date MM slash DD slash YYYY

Submit and continue to Step #2

HOW TO:

✅ Here’s how to properly enroll your child in Fall Camp and secure a spot:

Step #1: Complete & sign our health form.
Step #2: Complete & sign our camper form.
Step #3: 💳 Make a payment.

📎You’ll be emailed a confirmation of both forms after completion.

Nice and friendly atmosphere and they take great care of your hooved kids!
Anna DiGennaro Avatar
Anna DiGennaro
6/06/2018

Visit Us:

13220 Long Green Pike,
Hydes, MD 21082

Have a Question? Call us

(443) 606-4639

Contact Us

E-mail: hhfarm2012@gmail.com