Expanding Horizons Farm

Expanding Horizons Farm

Summer 2023
Welcome to the Expanding Horizons Farm Registration form!

Please complete the application and waiver of liability electronically or print it off and mail it to the address at the bottom. Parent/Guardian must complete waivers for their children. All attached forms must be completed before check in. These include the registration form, medical release form, waiver and release of liability form for the facilities.

We welcome you to join us at our very own location this summer! Please plan to arrive between 8:45- 9:00. We will begin our time together promptly at 9:00 so that we can get started with the fun and learning as soon as possible. Each day we will be ready for pick up by 2:00 pm. Please be sure to indicate who will be picking your child up. Come expectant for exciting stories and lots of show and tell as your kiddo learns about all the fun stuff!

Expanding Horizons Farm NOW A PERMINENT MINISTRY (meaning we arent traveling to each location each day) has every intention to be a safe and fun environment. We anticipate lots of running, playing in the garden, and hanging out with animals so please be sure to send your child with CLOSED TOE SHOES (boots are best), weather and activity appropriate clothing, water, a lunch, and sunscreen! We will provide small snacks that apply to each lesson. At EHF we are sensitive to allergies that others may have. Please note any specifications in the below allergy section as well as in a reply to the preliminary email of your campers session. If you have any questions please feel free to call us at 970.658.6281.

Payments can be made via PayPal, mailed check, or through Venmo.

Checks can be made out to Expanding Horizons Farm. A deposit of $50 is required upon registration.

The remainder of the payment may be made on day one of camp, or you can opt to pay in full at the time of registration. Registration is $250

Please reach out if you have any questions, I look forward to seeing you soon!

Emma Englesby

970.658.6281

P.O. Box 272923

Fort Collins, CO 80527

Thank you!

Expanding Horizons Farm
Name of Participant
Age
Session*
Address
City
State
Zip Code
Participants Birthday
How did you hear about us?
Is this your first visit?
Email
example@example.com
Emergency Contact

(Must be a parent or guardian)
Name*
Relationship*
Phone Number*
If you cant be reached who should we call
Name
Relationship
Phone Number
Authorized Pick-up Personnel

Please have the days that these people will be picking your child up for you indicated at check in. Make them aware that we will ask for an ID
Name 1
Phone 1
Name 2
Phone 2
Medical Information
Allergies
Food
Medications
Other (bees, latex, etc)
Is an Epi-pen required for allergies?
Please indicate any special needs so we can joyfully accomodate!
Mobility
Dietary (Vegetarian, Vegan, etc)
Learning
Disease or Disorder
Please list anyhing else you think would be helpful so that we can make the days most enjoyable!
RELEASE OF LIABILITY

I hereby release and hold harmless Expanding Horizons Farm, its employees, volunteers, animals, and facility and assign from all liability for personal injury, including death, as well as all property damage or loss arising out of my/my child’s participation in this Camp Program. I understand that this release and indemnification releases liability for the conduct of Expanding Horizons Farm and its employees, volunteers, animals, and facility.
Signature (parent or guardian)*
Date*
PHOTO RELEASE

The undersigned gives permission to Expanding Horizons Farm to use photographs and audio and/or video recordings of the Participant for fundraising and/or marketing purposes. On occasion, with permission, Participant photographs may be included in promotional videos, websites, End of Year albums, newsletters or our Information Handouts. Expanding Horizons Farm respects the privacy of its participants and does not allow unauthorized visitors to photograph or video the camp or its Participants.
Signature (parent or guardian)
Date
PARTICIPATION CONSENT

The undersigned gives participant permission to participate in any and all activities, except those specifically prohibited by parent or physician.
Signature (parent or guardian)*
Date*
Prayer Requests
Sibling Registrations

Don't bother filling out another full registration form! If your kiddos will be attending the same session just add their name to this registration form. If there are any special notes for the addition child, please note them below their Name and age. At time of payment please remember that you can pay just $50 for the deposit or pay the full registration cost.
Name

First NameLast Name
Age
Notes
Name

First NameLast Name
Age
Notes
Name

First NameLast Name
Age
Notes
Deposit/ Registration Form

prevnext( X )
USDDeposit/ Registration Fee
Should be Empty:

Expanding Horizons Farm

Authorized Pick-up Personnel

Sibling Registrations