Camp Application FormCamper RegistrationParent / Guardian & Emergency ContactResponsibility and ReleaseMedia ReleasePaymentCamper Information To apply multiple campers, press the plus(+) icon to the right of applicant form. Additional campers are automatically discounted.Camp Week Selection– Select –Week One / June 1-5 – 30 availableWeek Two / June 8-12 – 32 availableWeek Two / June 15-19 – 49 availableWeek Two / June 22-26 – 40 available Applicant Information Child’s First Name Child’s Last Name Child’s Age What School Does Your Child Attend? What Grade is Your Child Entering in Fall 2025? Does your child have any allergies? Does your child have any dietary restrictions? Does your child have any medical conditions we should know about? Please list any medication that will need to be administered during camp. T-Shirt KindergartenFirstSecondThirdFourthFifthSixthSeventh X-SmallSmallMediumLargeX-LargeXX-Large PreviousNextParent / GuardianFirst NameLast NamePhone/MobileEmailAddressAddress Line 1Address Line 2CityStateZip CodeCountrySelect CountryAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDemocratic Republic of the Congo (Kinshasa)DenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of the Congo (Brazzaville)ReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabweEmergency ContactFirst NameLast NameRelationship to ParticipantPhone/MobilePlease provide the name/s (as shown on State Issued ID) for anyone authorized to pickup the camper from camp, other than the parent/guardian listed above.PreviousNextFarm Camp Responsibility and Release As a parent or guardian of a child in the Farm Camp program, I wish to make clear my understanding that World Hunger Relief (hereafter referred to as WHR), 356 Spring Lake Rd, Waco, Tx 76705 does not assume any responsibility for loss of property, damage to the same, personal harm or illness that may occur; and I, for myself, my child, executors, administrators, distributes, and assigns, in considerations, do hereby absolve WHR and hold them harmless from any claim of demand which I or they might conceivably assert upon the basis of the foregoing. WARNING: UNDER TEXAS LAW (CHAPTER 75A, CIVIL PRACTICE AND REMEDIES CODE), AN AGRITOURISM ENTITY IS NOT LIABLE FOR ANY INJURY TO OR DEATH OF AN AGRITOURISM PARTICIPANT RESULTING FROM AN AGRITOURISM ACTIVITY. SUNSCREEN, BUG SPRAY, FIRST AID and MEDICATIONS RELEASE: I hereby grant permission to WHR. to administer sunscreen or bug spray to my child, as needed. I authorize WHR to administer first aid to my child, if necessary, including, but not limited to: bandages, antibiotic ointment, antihistamine, and itch cream. I understand that WHR will not dispense oral medications such as Tylenol, Advil, Aspirin, or any other oral medication (with the exception of antihistamines) without verbal consent from the parent or emergency contact of the child. I concede that WHR has the right and authorization to administer Benadryl as an antihistamine and any emergency inhalers or EpiPens that I have checked in with my child. Further, I agree that WHR has the right and authorization to summon EMS and give authorization to EMS to perform services when deemed prudent or necessary by WHR staff or volunteers.Terms Agreement I have read and agree to the terms abovePlease digitally sign your name to consent to our waiver and responsibility release:Agreement #1 I will keep my camper home if s/he has had a fever or vomitting within 24 hours prior to Farm CampAgreement #2 I will agree to inform Farm Camp staff immediatealy if my camper exhibits symptoms of a contagious disease during the week of Farm CampAgreement #3 I will assure my camper is ready to spend the day outside in the sun (e.g. sunscreen applied; sun hat; appropriate clothing)Agreement #4 I will make sure my camper has a water bottle each dayAgreement #5 I will assure my child is wearing closed toed shoesPreviousNextFarm Camp Media Release I hereby grant permission to World Hunger Relief Inc to take photographs and video of my child in connection with Farm Camp. I authorize World Hunger Relief Inc to copyright, use, and publish the same in print and/or electronically. I agree that World Hunger Relief Inc may use such photographs and video of my child with or without my name and for any lawful purpose, including for such purposes as publicity, illustration, advertising, and Web content. I agree to the above terms in the media release. Yes NoPlease digitally sign your name to consent to media release (if you checked no above type “NO”):PreviousNextPaymentAdditional campers are automatically discounted.Total ChildrenExtra ChildrenExtra FeeTotal PriceCoupon:Apply CouponNo payment items has been selected yetYou have registered camper(s). Your total is: .Pay with Square Previous Submit Form Back to Resources