Sweetwater Farm Camp Registration Form
Thank you for your interest in the
Sweetwater Organic Community Farm Camp Program
Please complete all entries in this form
Camper
  First name: 
  Last name:     Age:     Male   Female

   What school year will your child enter in Autumn?    

   Does your child have any special needs?  Please list them below:
 

   List any/all Allergies (food or otherwise):*
 
*Please note that if your child has any severe Allergies, they are required to bring an EpiPen
with them to camp every day.  Students with Allergies who do not do so will be sent home.

Guardians
   Primary Guardian 
   First Name: 
   Last Name: 
   Address:   City:   ST:   ZIP:
   e-mail: 
   Phones:  Home:    Cell:
 
Name(s) and preferred contact info
   Additional 
   Guardians 

Emergency Contact in the event you cannot be reached
   Name: 
   Phone: 

Choose your
Camp Session



Standard (9am-3pm)
Extended (9am-5pm)
Camp Fee  =  $   
Handling  +  $   

Total Due  =  $   
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Sweetwater Organic Community Farm
6942 W Comanche Avenue • Tampa, FL 33634
(813) 887-4066