Join our L’Chaim Equestrian Summer Camp!

Contact Information

Parent's Name

Child's Name

Contact Number

Child's Allergy

In case you are not able to pick-up your child, list an authorized person who can pick-up your child on your behalf.

Contact Number

Relationship to the Child

I understand and accept that L'Chaim Farm will only allow me and the authorized person I listed on this form to pick-up my child from the farm.