Holiday Camp Registration Form

Please Fill out this form accurately to register

Please fill out this form in its entirety

Your Name (Parents) First and Last*

Your FULL Mailing Address*

Your Phone Number*

Childs Name (First and Last)*

Your Childs Age:*

Email*

Emergency Contact Person (other then you) - First and Last Name*

Emergency Contact Phone Number:*

Please type camp start date requested, which location Ridley Creek or Chadds Ford and Half (only available to kids 6 and under)or Full Day

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Shadow Creek Farm

(484) 301-0560 (Text only)

Forms to print, fill out and bring the first day

Medical Release Form (pdf)

Download

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