Request Form

The information below will allow us to send you a letter with an introduction to the camp program and contact information for current Road’s End Farm family references. When all is said and done, camp life at Road’s End Farm is first and foremost a highly personal experience for all those involved, and we believe it begins right at the onset of our interaction with prospective campers and their families. For that reason, we also encourage people to call us directly for an enrollment application and references on the camp. Please be assured that the information you provide us will go no further than Road’s End Farm and will be purged from the camp’s files as soon as the camp is fully enrolled for the upcoming camp season. Moreover, you will receive only what you have requested and never another mailing, phone call, or email unless you express further interest in hearing from us again. No matter how you choose to contact us, thank you for your interest in Road’s End Farm.

My Name is: (Miss / Ms. / Mrs. / Mr.)

The best telephone number to contact me at is:

The most convenient times of day for me to receive a call in my time zone are:

My email address is:

Please send me an enrollment application as well as the names and contact information for families who have supported the camp recently.

My address is:

First name(s) and age(s) of prospective camper(s):

Your relationship to the above girls (i.e. mother, grandfather, friend, etc.):

If a prospective camper is making this request, do your parents know you are doing so? Yes

If not; please be certain to advise them quickly so that they will be fully aware of what you have requested before any Road’s End Farm information arrives in the mail at your home. Thank you.

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