Parent / Guardian Name * First Name Last Name Parent / Guardian Phone Number * (###) ### #### Parent / Guardian Email Camper Information #1 * If you are sending multiple campers, please continue filling out information below. First Name Last Name Camper Age * 4 5 6 7 8 Medical / Allergy Information * Please let us know if your child needs any medical accommodation or food allergy considerations. Camp Session * Session 1: June 10-12 Session 2: June 17-19 Session 3: June 24-26 Session 4: July 1-3 Session 5: July 8-10 Photo Consent * Is Little Sur Farm allowed to use photos of your camper on the Little Sur Instagram and website? Yes No Camper Information #2 If you are sending multiple campers, please continue filling out information below. First Name Last Name Camper Age 4 5 6 7 8 Medical / Allergy Information * Please let us know if your child needs any medical accommodation or food allergy considerations. Camp Session Session 1: June 10-12 Session 2: June 17-19 Session 3: July 1-3 Session 4: July 8-10 Photo Consent Is Little Sur Farm allowed to use photos of your camper on the Little Sur Instagram and website? Yes No Camper Information #3 If you are sending multiple campers, please continue filling out information below. First Name Last Name Camper Age 4 5 6 7 8 Medical / Allergy Information * Please let us know if your child needs any medical accommodation or food allergy considerations. Camp Session Session 1: June 10-12 Session 2: June 17-19 Session 3: July 1-3 Session 4: July 8-10 Photo Consent Is Little Sur Farm allowed to use photos of your camper on the Little Sur Instagram and website? Yes No Thank you!
