Expression of Interest
Register your interest below to join our Field to Future: Juniors in Agriculture after school program.
Parent/Guardian Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Mobile Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Secondary Contact (optional)
Child 1 Name
Child 1 Age
How many children are you interested in enrolling?
*
Enter 1, 2, or 3
Child 2 Name
Child 2 Age
Child 3 Name
Child 3 Age
Preferred Session Day
Tuesday
Thursday
Either
Would you be interested in a before school session starting at 7:30 am, once we are established?
Yes
No
Best Contact Method
Phone
Email
Medical or Additional Needs
How did you hear about Federal Farm School?
Please Select
Word of mouth
Social media
Community event
School newsletter
Website
Other
A Community-Powered Initiative
Submit Expression of Interest
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