Clone of August Class Registration

Class Registration

Ivory & Sage Homeschool
Welcome to October!

Old-Fashioned with a Purpose! Thank you for your interest in our programs! Please take a moment to fill out the form and choose the options that apply to your needs and interests! Any questions feel free to email hello@ivoryandsagehomeschool.com
Child Information
Child’s Name*

First NameLast Name
Birth Date*

MonthDayYear
Gender*

MaleFemale
Child 2 Information
Child 2

First NameLast Name
Birth Date

MonthDayYear
Gender

MaleFemale
Child 3 Information
Child 3

First NameLast Name
Birth Date

MonthDayYear
Gender

MaleFemale
Parent/Guardian Information
Name*

First NameLast Name
Cell Number*
E-mail*
example@example.com
Emergency Information
Emergency Contact's Name*

First NameLast Name
Relationship*
Phone Number*
Does the child(ren) have any allergies, chronic illness, or medical conditions? If yes, please describe.
Does the child(ren) have any social, mental or learning challenges? If yes, please describe.
Class Options*
prevnext( X )
Sowing the SeasonTogether we will explore seasonal crops, dig into the joys of fall planting and garden planning and learn how to companion plant. This is a hands on nature inspired class that will help grow curiosity but also the understanding of starting a garden.
$20.00 Quantity

Step up Sowing the Season- Please reserve your funds via step up ($20)
$ Free Quantity

Total

$0.00
Consent and Waivers*

I give permission for my child to participate in all activities.I understand there are inherent risks in outdoor play and homesteading activities.I agree to complete a liability waiver when I arrive.I give permission for photos of my child to be used in Ivory & Sage marketing materials (optional)
Please read the following handbook for Ivory & Sage Homeschool. Then agree to the Criteria for Enrollment
Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Date*

MonthDayYear
Date
Signature*

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Class Registration

Welcome to October!

Child Information

Child 2 Information

Child 3 Information