Whispering Acres Mommy/Daddy & Me Camp

Registration for Mommy/Daddy & Me Camp on June 4, 2025
Cost : $75

To register for our Mommy/Daddy & Me Camp, please fill out the form below.
Be sure to send your payment via Venmo @whisperingacres
or via Check to 71765 581st Avenue, Jansen NE 68377 to hold your spot.
Due to the high interest in our camps, payment must be received within 24-48 hours of registration
or your spot will be given to the next interested individual.

Participant Name

First Name

Last Name

Gender

Male

Female

Date of Birth

YYYY

Age

Height

Weight

Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

School

Parent/Legal Guardian Name

First Name

Last Name

Address (if different from above)

Emergency Phone

(###)

###

####

How Will You Pay for Camp?

Venmo @whisperingacres

Check

Whispering Acres Mommy/Daddy & Me Camp

Registration for Mommy/Daddy & Me Camp on June 4, 2025Cost : $75

Whispering Acres Tails & Treasures

Registration for Mommy/Daddy & Me Camp on June 4, 2025
Cost : $75