Farm Explorers

Name of Student *

Guardian Name *

Contact Email Address *

Contact Phone *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Which days do you want to register for?September 22September 29October 6October 13

How old is your student? *

School Student Attends *

Grade Student is in *

Gender *

Racial Distribution *Racial Groups

Is there anything you'd like to tell us about your student?

Who will be dropping off your student?

After School Program Details

Drop off is between 3:15-3:30pm. Pick up is at 5:30pm. No late pick ups or you will be charged $1/per minute over 5:30pm. Program is rain or shine with no refunds given.

$30 per student

Register for our Farm Explorers after school program by completing the form below.