Benton Family Farm

Visit a real 4th Generation working farm that provides a variety of educational farm experiences that are hands on for families,

and SCHOOLS!  Providing farm education for over 23 years.... Meet Mr. Benton who came here in 1941 at ten yrs old.

Camp Form     (trouble printing email me or i can fax it thanks ) Just Highlight and print



                                         "Adventure Days on the Farm"              

                                     11896 Old Lexington Pike Walton, KY 41094 

                                                  859-485-7000 cell 859-240-4552  

Email us and tell us what dates you might be interested in first! We may be booked.

Does your child love the outdoors, animals, dirt, and having fun?

                            [email protected] 

 Session# 1   July 8-12 ____                    Session # 2 JULY  15-19 ___


Session #3  pending please call  July 22-26___      


Child’s Name ________________________________________Age_______


DOB____/____/_____   Gender_____  




City______________________  State____ County____

 Zip__________                                      Home/main cell phone#_______________________


Email: _____________________________________________


Name of School__________________________

LAST Grade COMPLETED:________

Child resides with Mother and Father__       

OR        Mother ___Father____  




                       ($60.00 due with application NO REFUNDS)

                      (remainder due first day on Monday)


FEES      (circle one)   Session # 1, July 8-12          #2   July 15-19      


                            9:45-2:45 pm


  Total for week  $195.00____

Returning campers $185_____ Campers with siblings email for discount please.


Mother Name________________________________________ 

Father Name__________________________________________


cell# ________________ Mother

cell#________________  Father


Alternate Emergency contact

Name________________________________________ # _____________________________


Alternate Emergency contact

Name_________________________________________ # ______________________________


In case of emergency, we will call the above phone numbers


Does the child have any allergies, special needs, asthma, or any other restrictions? ___yes ___no         Explain 






Family Dr Name______________________________________ #_____________


Benton Family Farm reserves the right to refuse registration for health reasons, as the farm environment

may not be suitable for children with severe hay, bee, wheat and  or food allergies.


Make checks Payable to      BENTON FAMILY FARM   11896 Old Lexington Pike        Walton, KY 41094


We will contact you with a confirmation letter, information packet and instructions for Farm Adventure Days.


I the Parent/Guardian of_________________________ give permission for my child to receive

emergency medical care if so needed.

I understand that photos of Adventure Days may be taken during the week and may be used on website/face book in farm advertising and our publications.

Parent sign__________________________________________


Does child medical insurance?   Y/N    Name___________________ 



Signature of parent/guardian_________________________________ Date____________


Signature of parent/guardian__________________________________ Date____________


T shirt size  Circle one _______Child small, med, large, x large 


Adult small, med, large, x large,



Remember they bring their lunch and a water bottle!
















Oops! This site has expired.

If you are the site owner, please renew your premium subscription or contact support.