Vacation Program Registration

School Vacation Program Registration

A deposit of $100 is required per session, per child, of which $50 is non-refundable. If your child does not get into the program because there is no availability, you will receive a full refund of your deposit.

There are two ways to register for our programs:

1) Register online by completing all fields with a red star below, click Submit, then mail $100 deposit check to:

The Farm Education Collaborative
PO Box 323
Belchertown, MA
01007

NOTE: You must register each child separately and complete all fields with a red star each time you register.

OR

2) Complete form below, print, and mail in to the address above with a $100 deposit check per session, per child.

Please note: After submitting your registration information to us online, please scroll to bottom to be sure your form was successfully submitted. It should read, "Your data was successfully submitted". If you do not receive this message, please complete and submit form again. You will receive a confirmation email from us within a few days. If you do not receive a confirmation email, please call or email us at farmeducationcollaborative@gmail.com to let us know you attempted to register online.

1) Online Registration

Parent/Caregiver #1 Name *

First

Last

Parent/Caregiver #2 Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number #1 *

Phone Number #2 *

Email *

Child's Name *

First

Last

Gender *

Female Male

Date of Birth *

Age at time of program (campers must be 6-10 years old) *

2012 Vacation Programs (check one or both) *

February 20-24 April 16-20

Total Program Deposit ($100 per week, per camper) *

Total Program Fee ($325/week, $25 less for both weeks or siblings) *

Donation to Campership Program (optional) - allows us to offer assistance to other families. THANK YOU! *

Is your child a returning camper? *

How did you hear about this program? *