Summer Camp

Summer Camp at Dakin Dairy Farm

Our Summer Camp will be geared towards ages 6-16. Kids will experience a “Real Working Dairy Farm”, helping care for all of our resident barn animals and daily chores. Water day, kickball, hay ride, arts and crafts, pony rides, kidszone playgrond and so much more fun! Summer Camp will have three week-long sessions at $300 per week: Week 1 from June 2-6, Week 2 from June 16-20, and Week 3 from July 14 – 18.

Lunch will be included. Kids need to be sure to bring: Snacks, a refillable water bottle, sunscreen, a hat, and proper clothing, i.e closed-toed shoes. We suggest rubber boots as well.

Registering for Dakin Dairy Summer Camp

Fill out the registration form
Pay for the registration

Summer Camp Registration Form

Student info

Student Name(Required)

Age(Required)

Please enter a number from 6 to 16.

School(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Parent's Phone(Required)

Parent's Email(Required)

Select Summer Camp Weeks

Untitled(Required)

Week 1: June 2-6

Week 2: June 16-20

Week 3: July 14–18

Select the weeks that you are registering for.

Parent/Guardian info

1st Parent/Guardian(Required)

Cell Phone of 1st Parent/Guardian(Required)

Place of Work of 1st Parent/Guardian(Required)

Work Phone of 1st Parent/Guardian

2nd Parent/Guardian(Required)

Cell Phone of 2nd Parent/Guardian(Required)

Place of Work of 2nd Parent/Guardian(Required)

Work Phone of 2nd Parent/Guardian

Emergency Contact(Required)

Relationship to Emergency Contact

Phone for Emergency Contact(Required)

Cell Phone for Emergency Contact

Child resides with:

First parent

Second parent

Guardian

Both

Other

Name and phone number(s) of person(s) other than parents allowed to pickup your child

Pickup Person 1

Phone of Pickup Person 1

Pickup Person 2

Phone of Pickup Person 2

Pickup Person 3

Phone of Pickup Person 3

Pickup Person 4

Phone of Pickup Person 4

Pickup Person 5

Phone of Pickup Person 5

Any special instructions, such as custody or restraining orders must be attached to this application and discussed

Please list any other information you’d like to include about your camper:

Parent Authorization

Name of Camper(Required)

Today's Date

Dakin Dairy Farms does not discriminate on the basis of race, color, sex, handicap, religion, or national origin. Dakin Dairy reserves the right at its sole discretion to dismiss a child from camp should extreme disruptive behavior occur. No refund will be made of fees if the child has attended any portion of the camping period.

Parent/Guardian's Signature – behavior(Required)

I give Dakin Dairy permission to photograph and/or videotape my child for public relations and/or marketing purposes. Photos will remain archived at Dakin Dairy and can be used for promotional purposes without notification.

Parent/Guardian's Signature – photos/video(Required)

I authorize the camp management to act as the agent of the parents in any emergency situation or to administer basic first aid for the health and welfare of the camper involved. I am responsible for the expenses involved if the services of a physician or hospital are required. Please request a waiver for persons requesting exemption from medical treatment.

Parent/Guardian's Signature – emergency(Required)

Hospital preferred

By signing below I agree to adhere to all the Policies and Procedures set for by Dakin Dairy Farms.

Parent/Guardian's Signature – policies(Required)

Student's Medical Information

The medical background of each camper is required as part of the camp’s registration process. The camp director must be advised in writing of any condition that would limit the camper’s ability to participate in any program.

Child's Name – medical

Date of birth

Month

Day

Year

Child's Pediatrician's Name(Required)

Phone of pediatrician(Required)

Date of last physical

MM slash DD slash YYYY

Date of last tetanus shot

MM slash DD slash YYYY

Medical Conditions

List of past medical treatments

Will your child need to take any prescription medications while at camp?(Required)

Yes

Please request a medical dispensing form. Return the form and medication in a ziplock bag with your child’s name on it on the first day that they attend camp.

Allergies

Please type N/A if your child does not have an allergy

Food Allergies(Required)

Medication Allergies(Required)

Insect Allergies(Required)

Other Allergies(Required)

Does your child require an Epi-pen?(Required)

Yes

If yes, you must provide the camp with an Epi-pen to be kept at camp during your child’s enrollment. Epi-pen must be accompanied by a current prescription and a doctor’s note.

Specific Activities to be restricted for health reasons:(Required)

After submitting the registration, Pay for your registration via the buttons below this form

Pay for your Summer Camp registration via the following payment buttons:

Pay for Week 1 Pay for Week 2 Pay For Week 3

For questions or more information, email Events@DakinDairy.com

Summer Camp

Summer Camp

Summer Camp at Dakin Dairy Farm

Registering for Dakin Dairy Summer Camp

Summer Camp Registration Form

Student info

Select Summer Camp Weeks

Parent/Guardian info

Name and phone number(s) of person(s) other than parents allowed to pickup your child

Parent Authorization

Student's Medical Information

Allergies

After submitting the registration, Pay for your registration via the buttons below this form

Pay for your Summer Camp registration via the following payment buttons:

941-322-2802

30771 Betts Rd.
Myakka City, FL 34251

HOURS

Summer Camp

Summer Camp at Dakin Dairy Farm

Registering for Dakin Dairy Summer Camp

Summer Camp Registration Form

Student info

Select Summer Camp Weeks

Parent/Guardian info

Name and phone number(s) of person(s) other than parents allowed to pickup your child

Parent Authorization

Student's Medical Information

Allergies

After submitting the registration, Pay for your registration via the buttons below this form

Pay for your Summer Camp registration via the following payment buttons:

Our Mission

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941-322-2802

30771 Betts Rd. Myakka City, FL 34251

HOURS

30771 Betts Rd.
Myakka City, FL 34251