Summer Programs Registration 2018 Camper 1 Registration Question Title * First and Last Name of Camper 1 Question Title * Birthdate Camper 1 Below, please enter what grade your child will enter fall 2018 Question Title * Grade entering this fall: Question Title * Farm-to-Table Day Camp for Ages 8-13 CANCELLED Farm-to-Table Day Camp: June 11-15 REGISTRATION CLOSED Farm-to-Table Day Camp: June 18-22 Farm-to-Table Day Camp: June 25-29 / $250 Farm-to-Table Day Camp: August 6-10 / $250 REGISTRATION CLOSED Farm-to-Table Day Camp: August 13-17 / $250 Question Title * Farm-to-Table Half-Day Camp for Ages 5-7 Farm-to-Table Half-Day Camp: July 11 for Campers 3-5 / $65 or $25 with accompanying adult Farm-to-Table Half-Day Camp: July 12 for Campers 5-7 / $65 or $25 with accompanying adult Farm-to-Table Half-Day Camp: July 18 for Campers 3-5 / $65 or $25 with accompanying adult Farm-to-Table Half-Day Camp: July 19 for Campers 5-7 / $65 or $25 with accompanying adult Question Title * If you have registered for half-day camp for campers 3-5 or 5-7, do you plan on coming as a family? Yes! I plan on coming to the half-day camp with my child or children. My rate is $25/session. No, my camper will be dropped off at half-day camp. My rate is $65/session. Question Title * Day Camp Extras (optional) Transportation to/from Iowa City: $50 / week Early/late childcare (8 am-5 pm): $100 / camper / week Question Title * Parent/Guardian Contact Info Name Address City/Town State/Province ZIP/Postal Code Email Address Phone Number Question Title * Second parent/guardian household OR emergency contact: Name and relationship (e.g. Jane Jones, stepmom) Address City/Town State/Province ZIP/Postal Code Email Address Phone Number Question Title * Do you want to register another camper from your household? Yes No Question Title * How did you hear about Scattergood Summer Camps? Facebook posting or ad Film Scene Word of mouth Farmers Market table Flyer or poster Little Village Blog or website posting Attended last year Other (please specify) Question Title * Would you like to apply for financial aid? Yes No If yes, please send a copy of your last tax return with any relevant information here. Payment information is included on the next screen. Contact Jenn in Admissions with questions. Register!