First Annual
Maple Seed Farms' 

Summer Harvest Day Camp

Children and young adults will have the opportunity to participate in traditional summer camp activities, engage with peers, and learn new skills!

Weekly sessions will begin June 19th and go through July 28th. Participants may attend as many sessions as they'd like!

Join us for this fun, safe, and inclusive summer camp experience!

Participant's Name *
Participant's Name
Phone *
Phone
Address *
Address
Date of Birth *
Date of Birth
Primary Contact Person *
Primary Contact Person
Phone Number *
Phone Number
Desired weekly session(s)
Does the participant have a Medicaid Waiver? *