2024 Taylor Garden Camp

July 22 – 26, 9am – noon

Open to all Columbia Borough residents* entering grades 1-7.

Taylor Middle School
45 N 9th Street, Columbia, PA

Cost: FREE (tee shirt included)

WATER WORKS: Come harvest water AND veggies in the garden!

Students will engineer water walls and rain catchment off shed roofs and get to harvest and eat all the yummy food in the garden as usual!

Every camper will receive an Edible Classroom tee shirt. Families of campers are invited to join us on Friday at 11:30am for fresh garden snacks prepared by campers.

This camp is free thanks to the generosity of these organizations: Kleen-Rite, Majik Rent To Own, Lancaster STEM Alliance, and Susquehanna Chrysler Dodge Jeep Ram.

IMPORTANT: Please read our Behavior Policy before completing registration. The Edible Classroom staff is fully prepared to offer your camper a safe and fun experience. The Edible Classroom follows the health and safety guidelines of the School District. Feel free to contact Jill at Jill@theedibleclassroom.org with any questions.

Registrations are accepted on a first-come, first-served basis.

*Camp is not affiliated with Columbia Borough School District.

2024 Garden Camp - Taylor

Student Information

Name

First Name

Last Name

Last Grade Completed

Tee Shirt Size

Family & Emergency Information

Parent/Guardian Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Emergency Contact Name

First Name

Last Name

Relationship to Camper

Emergency Contact Phone

(###)

###

####

Medical Information

Name of Health Insurance Provider

Insurance Policy Number

Name of Primary Care Physician

Physician Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Physician Phone

(###)

###

####

Hospital Preference

Medical Conditions

Please list any medical conditions, including any requiring maintenance medication (diabetes, asthma, seizures, etc.) and required treatment.

Should a paramedic be called?

Yes

Illnesses

Is your child presently being treated for an injury or sickness or taking any form of medication for any reason?

If yes, please explain.

Allergies

Is your child allergic to any type of food or medication?

Yes

If yes, please describe.

Pick-up Information

Please list all persons authorized to pick up student.

Important note: Please arrive promptly at noon to pick up your child.

My child has permission to walk home from camp independently.

Yes

Photo Release

I give The Edible Classroom permission to use photographs of the registrant for publicity and promotional purposes.

Yes

Authorization

Waiver of Liability and Indemnification: I, the undersigned, parent, guardian, legal representatives, heirs, and assigns, hereby agree to indemnify and hold harmless and hereby releases, acquits, and forever discharges The Edible Classroom, its founders, volunteers, employees, successors and assigns from any and all actions, claims, demands, coverages, costs, losses, inquiries, expenses, judgments, attorney fees, and suits at law, equity or otherwise that may arise directly or indirectly from the above named participants involvement or participation in any manner in The Edible Classroom's programming.

Behavior Policy

I have read and agree with the terms outlined in the Behavior Policy (link at top of this page).

Signature

Entering name here serves as digital signature and indicates acceptance of these terms.

Date

YYYY