CEED SPRING FARM & NATURE EXPERIENCE 2023

CEED SPRING FARM & NATURE EXPERIENCE 2023

MONDAY, April 10- FRIDAY, APRIL 14
Is your child ready for a break from technology? Immerse your child(ren) into an authentic hands-on fun week at the farm and in nature. Your child will not only experience nature this week at CEED, but will also learn what it is like to live on a farm. Part of the day will be spent caring for and feeding the animals on a farm, preparing the gardens and planting early spring crops. The other part of the day will be spent exploring our 65 acres of woods, creeks, and marshland for frogs, salamanders, and a whole host of other wildlife with which we share our property. Your child is certainly going to go home tired and dirty everyday.

Available for children ages 5-13.

Full Day Sessions run from 9:00AM-3:30PM April 10-April 14 for $550 for the week ($525 if registering by February 15th!)

Half Day AM and PM Sessions will open on March 1st if spaces are available.

Early care from 7:00 a.m. - 9:00 a.m. and after care from 3:30 p.m. 5:30 p.m. is available as a separate registration.
First Child's Name*

First Name Last Name
First Child's Grade*
First Child's Date of Birth*

MonthDay Year
Date

Click Here to Register a Second Child
Second Child's Name

First Name Last Name
Second Child's Grade
Second Child's Date of Birth

MonthDay Year
Date

Click Here to Register a Third Child
Third Child's Name

First Name Last Name
Third Child's Grade
Third Child's Date of Birth

MonthDay Year
Date
If registering more than 3 children, please contact us at info@ceedli.org or 631-803-6780

Parent and Contact Information
First Parent's Name*

First Name Last Name
First Parent's Email*
example@example.com
First Parent's Cell Phone Number*

Area Code Phone Number
Second Parent's Name

First Name Last Name
Second Parent's Email
example@example.com
Second Parent's Cell Phone Number

Area Code Phone Number
Home Phone Number

Area Code Phone Number
Address*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Check here if you are interested in early care or after care.

I am interested in a.m. child care from 7:00 a.m. - 9:00 a.m.I am interested in p.m. child care from 3:30 p.m. - 5:30 p.m.

Emergency Contact Information and Permission
Additional Emergency Contact

First Name Last Name
Additional Emergency Contact Phone

Area Code Phone Number
Photo Permission Release*

I give CEED permission to take photos and videos of my child(ren)I do not give CEED permission to take photos and videos of my child(ren)
Additional People that may pick up my child(ren)

Please list names of people that have your permission to pick up your child(ren). Any person not listed here will not be able to pick up your child(ren) without prior notification to CEED.
Please fill in all names of individuals that have your permission
Parent/ Guardian Release Statement

As parent or guardian of the applicant(s), I agree to comply with all program regulations and give permission for my child(ren) to participate in the CEED Spring Nature and Farm Experience run by Art & Nature Group, Inc./CEED. I understand that the proposed nature activities have an inherent risk factor and that all appropriate precautions will be taken for the safety of my child(ren). I give my permission to Art & Nature Group, Inc/CEED staff, volunteers, and medical personnel to administer medical assistance to my child(ren) as needed. I agree not to hold Art & Nature Group, Inc./CEED, Mama Farm, or any of their associated agents liable in the event of injury to my child(ren). I understand my child will probably be coming home tired, dirty, and full of excitement everyday.
Refund & Exchange Policy: Risk free registration- We adhere to all NYS Department of Health COVID-19 Protocols and Regulations. If the regulations change due to an increase in COVID-19 cases in the state, we will issue a full refund. If you need to cancel due to a COVID-19 requirement, we will issue a full refund, minus a nominal $25 charge to cover the cost of processing. Other cancellations are subject to a $100 fee.
The Center for Environmental Education and Discovery requires that children have a current (within one year) physical submitted for participation. All vaccinations required by NYS public schools also are required.
I understand that required documentation, including health forms must be received by April 5th to guarantee my child's placement in CEED's Spring Nature and Farm Experience.
Signing or typing your name below serves as your electronic signature, and indicates you have read and agree to the above statements.
Name*

First Name Last Name
Date*

MonthDay Year
Date

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CEED Spring Farm & Nature Experience Full Day Registration- (After 2/15 cost will be $550)$525.00
5% discount will be added when registering multiple children.

How many children are you registering?
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Donation for Scholarships$25.00
Last year, we were able to send 8 children on scholarships thanks to past scholarship additions. Please help us exceed our goal this year! Your donation is fully tax deductible.

Total $0.00

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CEED SPRING FARM & NATURE EXPERIENCE 2023

Parent and Contact Information

Emergency Contact Information and Permission

Additional People that may pick up my child(ren)

Parent/ Guardian Release Statement