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Merck Forest and Farmland Center
Camp Registration Form
Camper Name
*
Age (as of June 15, 2026)
*
Camper Birthdate
*
Month
Day
Year
Camper's Gender
Male
Female
Other
Camp Program (select all paid sessions for the individual camper for whom this form is being completed)
*
Little Sprouts Camp | Ages 3, 4 & 5
Little Oaks Summer Camp | Ages 6, 7 & 8
Big Oaks Summer Camp | Ages 9, 10 & 11
Crew Camp | Ages 12, 13 & 14
Parent/Guardian First Name
*
Parent/Guardian Last Name
*
Relationship to Camper
*
Parent/Guardian Email
*
Home Phone
*
Mobile Phone
*
Work Phone
Multi-line address
Country/Region
*
Address
*
City
*
Zip / Postal code
*
Best way to reach me during camp hours
*
Home Phone
Mobile Phone
Work Phone
Email
Other
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