Staheli Family Farm - Washington, Utah

Farm Camp Reservations

Use this form only for requesting reservations for our Summer Farm Camp.
You will have to register each child from the same family separately.
If you want to make a group or party reservation, please Click Here. Please enter all information requested.
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REMEMBER, THIS RESERVATION IS NOT VALID UNTIL CONFIRMED BY US. PLEASE ALLOW 48HRS FOR US TO REPLY.

* Required Items—Please Fill In All Required Items

Required Information

* Parent Name

* Contact Phone #:

* Email

* Child's Name:

* Child's Age:

* Requested Session Date:

* Child's Gender: Male
Female

Camp days are spent entirely outside. Are there any health concerns that might compromise your child's safety in this environment, including asthma, allergies, etc? Please list medications, when taken, and purpose. Campers also share snacks together, so please note any dietary restrictions that we should be aware of.

Any special needs or concerns?

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* Required Items