Click HERE for the ROE AG Camp informational page.

If your child has medical requirements, please click HERE for the Medication Authorization Release Form.

Please fill out the following form for the Ag Camp waiting list.

Waiting List:

2018 ROE 41 AG Camp is now closed. Please use this form to get on the waiting list. Thanks!

Camper Information

Name:*
Birth Date:*
Grade in Fall 2017:*
Home Address:*

Parent/Guardian Information:

Parent 1:

Name: *
Relationship to camper:*
Home Phone:
-
Work Phone:
-
Cell Phone:*
-
E-mail:

Parent 2 (If needed):

Name:
Relationship to camper:
Home Phone:
-
Work Phone:
-
Cell Phone:
-
Alternate Phone:
-
Phone:
-

Campers receive one free Camp T-shirt! Additional t-shirts are $10 each. Please choose a size from the dropdowns below.

Children's Sizes:
Adult Sizes:
By clicking on Submit below you agree to let your child be photographed or videotaped. If you do not agree, type "No" in this box.: