FARM SCHOOL REGISTRATION
May 2025 Classes- please submit a separate form for each student
Parent/Guardian Full Name:
*
First Name
Last Name
Student Name/DOB
*
Full Name
DOB M/D/Y
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian Contact Number:
*
Please enter a valid phone number.
Format: (000) 000-0000.
Primary Email:
*
example@example.com
Emergency Contact:
*
Full Name/Relationship
Phone Number
Please list siblings FULL NAME/AGE under four years old who will be attending at any point during class sessions
*
Please list any health conditions/allergies/additional information you would like us to know about your child:
*
Have you attended Little Homesteaders classes in the past?
*
Please Select
YES
NO
ATTENDED POP UP CLASS
What topics are your children most interested in learning about?
*
Please Select
Gardening and Food Forests
Animal Husbandry
Herbalism
Bushcraft/Survival Skills
Traditional Pioneer Crafts
By signing this registration form, I agree that I will submit all required documentation and waiver forms and registration payment by requested due date. Registration is $125 per child (four years and over) plus tax. I understand that farm school has limited spots and submission of registration form does not guarantee placement for my student. Our program is not drop off and a parent is required to be in attendance during class time. Due to limited spacing one parent/guardian max per class. Siblings younger than four years are permitted to attend with paid siblings at no additional cost. Furthermore, I acknowledge that all information provided in this form to be truthful. Please be sure to add our email address: hello@lakewinonafarms.com to receive notifications about the status of your registration.
*
Continue
Continue
Should be Empty: