Please fill out one form per camper. If your camper is attending multiple camps, only one form is required but please select all desired camps. A non-refundable registration deposit of $100.00 is required for each camp attended, to be paid via Credit Card or Check upon completion of the registration form.

A completed Registration form and deposit are necessary for enrollment. Please contact Anne Petersen if you have any questions, (360)-622-6385 or After June 15th, 2019, full payment is required at time of registration. Thank you.

We do have scholarships available for those who qualify. Please contact us for more information. We make it a mission to turn no one away from coming to our programs.

2019 Camp Registration Form (1)

For Full Moon Rising Farm Summer Camps
    Please select from the list the desired camp(s) with the corresponding date(s). All dates are for 2019.
  • Quick Camper Info

  • Quick Guardian Info

  • Quick Second Guardian Info

  • Detailed Camper Information

  • Please provide full name(s)
  • Food
  • Children attending FMRF Camp must be able to: 1. 2. 3.
  • Refund policy
  • Emergency Contact(s)

  • Parent/Guardian Authorization

    I certify that this health information is complete and true to my best knowledge. The camper above has permission to engage in all camp activities except as noted as restrictions. In the event I cannot be reached in an emergency, I hereby give permission to FMRF to secure treatment.
  • Date Format: MM slash DD slash YYYY