Fernbrook Farms Environmental Education Center

2018-19 Upper Level Homeschool Registration

Ages 12-14 Years Old (Students must be 12 years old by the start of the semester.)

Each Participant must register individually.

Class Sessions Offered:

Tuesdays 9:30am-11:30am

Tuesdays1:30pm-3:30pm

Thursdays 9:30am-11:30am

Thursdays 1:30pm-3:30pm

Fall Semester Begins Sept. 18th

Fall-Winter Bridge Begins Nov. 27th*

Winter Semester Begins January 15th*

Spring Semester Begins March 26th*

*Likely start dates.

Price: $139 for 8-week semester (Fall, Winter, Spring)

$45 for 3-week Fall-Winter Bridge

Click here to view: Syllabus & Mail-in Registration Form

IF CLASSES ARE MARKED IN RED- This means the class session is FULL, meaning we can NOT accept anymore students in the class session. Contact Jenna at 609-298-4028 to be placed on a waiting list or email Jenna@fernbrookfarms.com!

Student Registration Information

First Name of Child *

Last Name of Child *

Please select the semester you would like to register for. *

Fall ($139)

Fall-Winter Bridge ($45)

Winter ($139)

Spring ($139)

Please choose the day and time your child will attend class. *

Tuesday: 9:30 - 11:30

Tuesday: 1:30 - 3:30

Thursday: 9:30 - 11:30

Thursday: 1:30 - 3:30

Discounts:

How many semesters are you registering for? (Please select only one option.)

1

2

3

4

Does your child have a sibling attending one of our classes?

Yes

No

Does your child have a sibling attending one of our classes? *

Yes

No

Does your child have a sibling attending one of our classes? *

Yes

No

Does your child have a sibling attending one of our classes? *

Yes

No

Are you a CSA member?

Yes

No

Are you a CSA member? *

Yes

No

Are you a CSA member? *

Yes

No

Are you a CSA member? *

Yes

No

Total:

$0.00

Friend Request

Age (at the start of class) *

Date of Birth (mm/dd/yyyy) *

Gender *

Parent Information

Parent's First Name *

Parent's Last Name *

Primary Phone Number *

Secondary Phone Number

Email Address *

Confirm Email Address *

Street Address *

City *

State *

Zip Code *

Country *

Employer *

Emergency Contact Name *

Emergency Contact Phone Number *

Alternate Number

How did you hear about Fernbrook's Programs & Classes *

I give Fernbrook Farms Education Center permission to use photographs or video footage of my child for any promotional or other legitimate reason. *

Medical Information

Please list all known allergies and treatment if exposed. *

Please list any physical, behavioral, or other pertinent information Fernbrook Farms staff should know to ensure your child has a positive experience. *

In case of an emergency, I give my permission to have my child receive first aid and be transported to the nearest hospital by professional, emergency personnel. I understand I will be financially responsible for the cost of such treatment. *

Please consider making a donation to Fernbrook Farms Environmental Education Center!

Fernbrook Farms Environmental Education Center (FFEEC) is a non-profit 501-c-3 organization committed to providing hands-on educational experiences to all young people and needs and welcomes gifts of every amount from all friends. Small and large gifts multiply into major support for the important work of FFEEC's programs. All donations are tax deductible.

We thank you for your support!

Donation Amount $

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