top of page

Camp Registration

Ivy Bell Farm

Camper Registration Form

Emergency and Permission Form

Please fill out a separate emergency form for each child.

Medical and Emergency Information

In case of an emergency we will always try to contact parents/guardians first. Should we be unable to reach you, please give us the name and phone number of one other person we should be able to reach during the hours your child is at the farm:

Please list the first and last names and phone numbers of everyone who has permission to pick up your camper, including yourself. Anyone picking up for the first time should be prepared to show a photo ID.

I agree to comply with the following policies:

Under North Carolina law, there is no liability for an injury to or death of a participant in an agritourism activity conducted at this agritourism  location if such injury or death results from the inherent risks of the agritourism activity. NC G.S. 99E-30-31

How did you hear about Ivy Bell Farm?

I certify that the above information is correct

Thanks for submitting!

bottom of page