"S+E+A": Science+Equine+Agriculture Youth Development Enrichment Program

"S+E+A": Youth Development Enrichment Program

Summer 2025 Enrollment Form

Haynes Harbour Group, Inc. (HHG) is pleased to announce our youth enrichment program "S+E+A": Science+Equine+Agriculture® “Experiential Education & Therapeutic Exploration” @ MM Equestrian Farm

Coworking Site Location:
@ MM Equestrian Farm 1725 NE 135th Street, North Miami, FL 33181 (located at Enchanted Forest Elaine Gordon Park)

Program Frequency/Duration:
Miami Dade County Public Schools (MDCPS) academic Summer Break (June 16, 2025 -July 16, 2025)

Participating Schools:
North Miami High School and North Miami Middle School
Parents will complete a mandatory liability waiver for all participants.

ONLY applications with supporting documents will be accepted from April 2-May 2, 2025.
All parents/guardians are required to provide income verification documentation (IRS 1040 and Paystubs), as per HUD low-to moderate income guidelines.

Parents will be responsible for picking up participants from the site location by: 1:00pm. A late fee of $10.00 applied to your account. If participants have a total of two (2) late pick-ups, they jeopardize losing their spot in the program.

Participants' Snacks: Participants will receive a healthy lunch and snack.
Lead Agency: Haynes Harbour Group, Inc. ℅ Dr. Shantell Haynes
Contact Information: drhaynes@haynesharbour.com

Sub Agency/Community Partner: MM Equestrian Farm, Inc. ℅ Melissa McGoey
Contact Information: mmequestrianfarm@gmail.com

Please complete and submit one form per student being enrolled in the enrichment program.

Parent/Guardian Name*

First NameLast Name

Parent/Guardian Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Parent/Guardian Email*

example@example.com

Student's School ID Number*

7 Digits

Student's Name*

First NameLast Name

Fall Grade (2025)*

Effective Date for Enrollment*

Please note any known food and environmental allergies

Please specify each person, including the name of parents, who has permission to pick up your child from the program.

Authorized Person 1

First NameLast Name

Phone Number 1

Area Code & Phone Number Format: (000) 000-0000.

Authorized Person 2

First NameLast Name

Phone Number 2

Area Code & Phone Number Format: (000) 000-0000.

Authorized Person 3

First NameLast Name

Phone Number 3

Area Code & Phone Number Format: (000) 000-0000.

Authorized Person 4

First NameLast Name

Phone Number 4

Area Code & Phone Number Format: (000) 000-0000.

Statement of Policy
Please Read Carefully. All Participants, Parents/Guardians will complete and sign a Liability Waiver.

An Enrollment Form is required for all students participating in this program.

A current liability waiver must be completed for each student participating in this program. Please note that contract changes can only be made a week after you have been accepted into the program. Please note all families are required to provide income verification documentation as per HUD low-to moderate guidelines

Only persons authorized by the parent or guardian may pick up your child from the program. Please notify the Director in writing if anyone other than a parent/guardian will pick up your child. All students attending the program are required to follow all program rules.

Behavioral problems will result in parent notification and possible suspension from the program. Students with a fever or contagious illness may not participate in the program. This program is offered to local North Miami youth in middle/high school.

Agree

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