Lil’ Farmers School — Enrollment Form – Ezer Grace Farm

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Lil’ Farmers School
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Lil' Farmer's Enrollment Form

You only need to complete this form once per child, even if they’re attending multiple classes. Thank you!!

Name *

First

Last

Child's Age *

Parent or Guardian Name *

First

Last

Email *

Phone Number *

Does your child have any food allergies or dietary restrictions? *

Any medical information we should be aware of? *

Which dates would you like to enroll your child in? *

June 1
June 15
June 29
July 13
July 27
August 10
August 24

Cost is $30 per child, per session. Payment details will be provided after form submission.

Permissions *

I understand this is a drop-off program (9:00 AM–12:00 PM)
I give permission for my child to participate in farm activities
I understand children will be outdoors and may get dirty
I give permission for my child to be photographed for farm-related promotional use (no faces will ever be shown in pictures)

Anything else you’d like us to know about your child

Payment Acknowledgment *

I understand the cost and payment expectations

Cost is $30 per child, per session.

Homegrown food and small-batch goods for simple, seasonal living.

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34645 Seavey Way

Eugene, OR 97405

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