Harvest Blessings-Topsail Academy Registration 🌿🌞

Harvest Blessings-Topsail Academy Registration 🌿🌞

Register your child for Topsail Academy - Harvest Blessings program, a small faith based farm and nature experience for children ages 3-5, where learning comes to life through animals, nature, and hands on activities
Student Registration Form
Child's Full Name

First NameLast Name
Child's Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Parent/Guardian Full Name

First NameLast Name
Parent/Guardian Email Address
example@example.com
Parent/Guardian Phone Number (Text)
Please enter a valid phone number.Format: (000) 000-0000.
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Does your child have any allergies or medical conditions?
Is your child fully potty trained?
Does your child have experience with animals?
Monthly Tuition

$295 paid on the 1st of the month. A late fee of $25 will incur if not paid by the 5th of the month. Can be paid by Zelle (910-200-5118), Venmo-@SellittoFarm, or Cash. If paid by credit card -the monthly tuition will be $340 as there is a 3% processing fee.
Parent Agreement: I understand that Harvest Blessings Preschool is a small faith based farm and nature experience for children ages 3-5, where learning comes to life through animals, nature, and hands on activities
Farm Liability Waiver

Topsail Academy at The Sellitto Farm: I understand that Topsail Academy operates on a working farm and includes supervised interaction with animals including goats, sheep, pigs, chickens, ducks, rabbits, and a farm dog. I acknowledge that farm environments may involve inherent risks including but not limited to: Animal interaction, Uneven ground, Outdoor environmental conditions. I agree that my child will follow safety rules provided by the program. I release and hold harmless The Sellitto Farm and its owners from liability for injuries that may occur during normal activities. I understand that all reasonable precautions will be taken to maintain a safe learning environment.
Signature
My Products
prevnext( X )
Non Refundable Registration Fee to reserve your child's spot (Venmo/Zelle Only)

$65.00 Quantity



Harvest Blessings Program (Mon, Wed, Thurs- 9:00am-12:00pm) -Credit Card ONLY
Monthly Tuition- This includes the 3% processing fee

$303.85 Quantity



Harvest Blessings Program (Mon, Wed, Thurs- 9:00am-12:00pm) -Zelle/Venmo/Cash ONLY
Monthly Tuition

$295.00 Quantity
Should be Empty:

Harvest Blessings-Topsail Academy Registration 🌿🌞

Student Registration Form

Monthly Tuition

Farm Liability Waiver

My Products*

My Products