the paper registration and payment forms

 Spring is just around the corner and we’re inviting YOU to join us for all the good stuff that comes with
it. Baby goats and chickens, new programs including beekeeping and composting, and green stuff
sprouting up everywhere! For our staff and trustees, the driving force behind all the new and wonderful
things we have going on is our Kids Programs- and Camp Wetu is one of our favorites!
Our Spring session of Camp Wetu will run from Monday, April 18th thru Friday, April 22nd 2016
from 9:00 am to 3:00 pm with an extended day option available (3 pm-5 pm). It’s a perfect fit for kids
ages 6-12. Fun games, crafts, indoor and outdoor play, and learning including lots of face time with our
Barnyard animals, experiments and brainstorming on new ideas and ways to do things, and doing our
part to plant and grow food and community here at the Farm.
Our Camp Wetu team will be led by Director Frank Campo. All Farm staff are CPR and First Aid
Certified and are required to complete a national Criminal Background Check.
Our registration fee is $150 per child, with Mount Hope Farm members receiving a discounted rate of
$125. We are pleased to offer an extended day option for working families; the price of an extended day
for the week is $25. SPACE IS LIMITED so register early! Registration deadline is April 12th.
Registration can be completed by phone by calling at 401-254-1745, in person at our office or online at
www.mounthopefarm.org (Look for the Camp Wetu link!) If you have any questions, please call the
office at 401-254-1745.
Camp Wetu in Spring
REGISTRATION FORM 2016
Child's First Name_________________________ Child's Last Name_____________________
Male/Female (Circle)
Child's Preferred Name____________________________________
Date of Birth (mm-dd-yyyy) ____________________ Current Grade in School___________
Address____________________________________________________________
City____________________________________ State_______ Zip____________ Parents'/Guardians' Names_______________________________________________________
Contact number of Parent/Guardian (please say who's number) __________________________
E-mail Address________________________________________________________________
ALTERNATIVE CONTACT - for emergency and you cannot be contacted:
#1 Name/Relationship____________________________________________________________
Phone Number(s) _______________________________________________________________
#2 Name/Relationship____________________________________________________________
Phone Number(s) _______________________________________________________________
Camp Wetu in Spring
WHAT TO BRING EACH DAY
The Daily Routine
The day begins at 9AM. Parents will be notified in advance as to the daily drop-off and pickup location.
The day ends at 3PM with an option for an extended stay from 3PM-5:00PM.
Clothing: Campers should be dressed in comfortable clothes to engage in activity; all clothing should be
suitable for indoor and outdoor use. We recommend bringing an extra set of clothes as well as anything
that is appropriate for the day’s weather.
Reusable Water Bottle: Hydration is important- this is invaluable camper “gear”! A reusable bottle,
labelled with your child’s name, not only keeps them hydrated, but also encourages your child to re-use
and re-cycle, something we all work hard to do at the Farm!
Lunch: Campers are required to bring a brown bag lunch each day. An afternoon snack will be
provided. Refrigerators are available. Our days are activity driven so please remember that Food is Fuel;
healthy lunches and snacks that are ready to go will feed your child’s body and keep their mind sharp!
Spring Protection: Many of our activities will take place outdoors. Please ensure your child’s safety
and comfort. We suggest a minimum of sun screen, hats, gloves, rain gear, and boots.
Backpack: A backpack or tote, labelled with your child’s name, will assist in keeping your child’s gear
organized and handy. Please leave valuable items or those of personal value at home. Cell phones,
IPhone, laptops, etc., brought with your child will be stored with your child’s belongings until the end of
each day’s session. Mount Hope Farm is not responsible for any loss or damage.
Camp Wetu in Spring
HOW TO REGISTER
A Completed Registration Form and payment will confirm your child’s spot.
The following forms are required for all participants:
 Camp Wetu Registration and Payment Form
 Registration Form included
 Payment Form included.
Registration and Payment form also available online at:
 http://www.mounthopefarm.org/events/swing-into-spring-camp-wetu-at-mount-hope-farm
 Copy of Child’s Birth Certificate or Passport
 Camper Info Forms
o Permission Slip
o Camp Health form
o Pick-Up Authorization form.
o Photo/video waiver.
PLEASE NOTE: Medical Forms and Immunizations: Medical information will be required at time of
registration. Documentation of immunization is due before your child starts camp. Due to state
regulations, required immunizations include: Measles, Mumps, Rubella (MMR) Vaccine, Polio Vaccine,
Diphtheria and Tetanus Toxoids, Pertussis Vaccine, Hepatitis B.
Due to state regulations, your child WILL NOT be able to attend camp without completed medical
forms returned in advance to Mount Hope Farm.
Camp Wetu in Spring
PAYMENT FORM 2016
Extended Day (3PM-5PM): _________YES
___________NO
Session Fees (per child):
 Non-Members $150
 Current MHF Members*: $125
 Extended day (3PM-5PM) $25 for entire session
Due with final balance
*Interested in becoming a member of Mount Hope Farm? Call 401-254-1745
PAYMENT INFORMATION
Please feel free to contact our office to submit payment info by phone at 401-254-1745
Online Registration option available on www.mounthopefarm.org
Total Deposit: _______________
Check One:
________ Cash _______Check ________Visa/MC
Card Number:__________________________________ Exp. Date__________
Signature______________________________________ Today's Date___________________
FOR OFFICIAL USE ONLY PROOF OF AGE:
Initials: _____
Yes
No Type of proof:
PAID CAMP FEE:
Initials: _____
Yes
No
ID Card
Type of payment:
Cash
Birth Certificate
Check
Other:
Credit
Staff
Staff