Junior Farmers Workshops
DAY 02 - Farming & Innovation
DAY 02- REGISTRATION FORM
Please take the time to fill out our registration form so that we have all the information we need to accomodate your child(ren). Please fill out a separate form for EACH CHILD that you would like to register for the workshop. Once submitted, our staff will be in touch to follow up and provide an invoice for the registration fee. Each workshop will have a MAX of 15 kids. Overflow dates may or may not be provided so we recommend getting registration forms in ASAP. Cost is $65/day -per child, plus tax and is due at the time of confirmation of this registration payable by e-transfer or cash/debit/credit IN STORE.
Which day is your child attending?
Please Select
MAY 30 (WRDSB PA DAY)
JUNE 06 (GEDSB PA DAY)
Childs Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Name of Parent/ Guardian
First Name
Last Name
Parent/Guardian Contact Number
Please enter a valid phone number.
Parent/Guardian Email
example@example.com
Home Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact
First Name
Last Name
Emergency Contact Phone Number
Please enter a valid phone number.
Please let us know below of any known allergies for this child.
KIDS LUNCH MENU
Includes side of carrots, cucumber & ranch
My Products
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( X )
Cheeseburger / Hamburger
$
Free
Hotdog
$
Free
Chicken Burger
$
Free
Mac & Cheese
$
Free
Whole Milk
$
Free
Chocolate Milk
$
Free
Apple Juice
$
Free
Orange Juice
$
Free
Water
$
Free
Submit
Should be Empty: