Farm & Forest School Enrollment - The Watershed Farm

Username *

Email *

Password *

Child's Full Name *

Child's Pronouns *

Child's Preferred Name/Nickname (will be printed on their Explorer's Backpack) *

Child's T-shirt Size (all sizes are Youth) *SMLXL

Child's Birthday *

Month

Day

Year

Caregiver's Full Name *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Country

Emergency Contact #1 (Full Name, Phone#, Relationship to Child) *

Emergency Contact #2 (Full Name, Phone#, Relationship to Child) *

All adults authorized to pick child up (Full Name, Phone #, Relationship to Child) *

List all allergies, dietary needs/preferences, and/or medical conditions of child (NA if none) *

$65 Registration Fee *

one time, non-refundable fee includes a t-shirt and explorer's pack for your child to keep regardless of payment plan or attendance

Payment Plan *$325/month: Full Tuition + Scholarship Donation$81/week: Full Tuition + Scholarship Donation$300/month: Full Tuition$75/week: Full Tuition$225/month: Tuition with 25% Scholarship$56/week: Tuition with 25% Scholarship$150/month: Tuition with 50% Scholarship$38/week: Tuition with 50% ScholarshipPlease choose the option that best fits your family's financial abilities. Upon enrollment you will be emailed a link to set up your payment plan. A specific number of spots are open for each payment plan, therefore not all payment plans will be available at all times.

After School Care 12:30p-2:30p, Tu & Th, $160/mo OR $40/wk *YES: Please add this to my payment planNO: I will pick my child up at 12:30

Full Name Signature of Legal Guardian *