Camper Information Form 2025 - Heartland Farm

Peace Camp 2025

Camper Information Form

Parent/Guardian Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Email(Required)

Phone(Required)

Number of Campers Registering(Required)

Camper 1

First & Last Name of Camper 1(Required)

First Last

Age of Camper 1 on 6/2/2025(Required)

Birthday(Required)

Size range(Required)

Youth

Adult

Size(Required)

Camper 2

First & Last Name of Camper 2(Required)

First Last

Age of Camper 2 on 6/2/2025(Required)

Birthday(Required)

Size range(Required)

Youth

Adult

Size(Required)

Camper 3

First & Last Name of Camper 3(Required)

First Last

Age of Camper 3 on 6/2/2025(Required)

Birthday(Required)

Size range(Required)

Youth

Adult

Size(Required)

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