Mama and Me on the Farm

Mommy & Me on the Farm

Spots will be reserved on a first-come, first-serve basis
Parent Name

First NameLast Name
Phone Number
Format: (000) 000-0000.
E-mail
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Full Name

First NameLast Name
Emergency Contact

First NameLast Name
Phone Number
Format: (000) 000-0000.
If registering to attend Mama & Me on the Farm, please list the name(s) and age(s) of your children who will be attending with you (must be ages 5 and under):
Submission of this form and the non-refundable program fee confirms your child's enrollment. We look forward to seeing you all on the farm!
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Mommy & Me: 2 or more children, under age 6, attending with Mom (Price is for entire 5-week series)
These Mommy & Me sessions are open to all mamas and their little ones ages 0-5 years old. Sessions will be every Thursday from 10a-11:30a from October 15th through November 12th. Mamas must be present with their young ones the whole time. (Inclement weather make-up date if needed: November 19th.)

$140.00 Quantity

Mommy & Me: One child, under age 6, attending with Mom (Price is for entire 5-week series)
These Mommy & Me sessions are open to all mamas and their little ones ages 0-5 years old. Sessions will be every Thursday from 10a-11:30a from October 15th through November 12th. Mamas must be present with their young ones the whole time. (Inclement weather make-up date if needed: November 19th.)

$100.00 Quantity

Total

$0.00
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Mommy & Me on the Farm

Submission of this form and the non-refundable program fee confirms your child's enrollment. We look forward to seeing you all on the farm!