Petting Zoo

Plucky

Palomino

Farm & Forest School

PReschool Enrichment - Summer Camps - After School Programs

Junior Farmers Enrollment Form

Parent #1 Information

Parent/Guardian #1 First name

Parent/Guardian #1 Last name

Parent/Guardian #1 Email

Parent/Guardian #1 Phone Number

Address

Parent #2 Information

Parent/Guardian #2 First Name

Parent/Guardian #2 Last Name

Parent/Guardian #2 Phone #

Parent/Guardian #2 Email

Emergency Contact

Emergency Contact First Name

Emergency Contact Last Name

Emergency Contact Phone #

Relationship to Student

Emergency Contact Email

Student Information

Student #1

Student #1 First Name

Student #1 Last Name

Student #1 Date of Birth

Photo of Student #1

Student #2

Student #2 First Name

Student #2 Last Name

Student #2 Date of Birth

Photo of Student #2

Student #3

Student #3 First Name

Student #3 Last Name

Student #3 Date of Birth

Photo of Student #3

Please list any allergies you child has here:

Please list any dietary restrictions here:

Please let us know any additional needs your child has in terms of accessibility or accommodations, that would help us set your child up for comfort and success during their time at school with us.

Additional Needs:

Languages spoken at home:

Student(s) racial or ethnic identity:

Student(s) pronouns:

Eligibility Policy

I understand that in order to join the Junior Farmers program my child needs to be between 6 and 11 years old at the time of enrollment.

I agree to the eligibility policy.

Registration & Cancellation Policy

Payment and Enrollment:

Payment for each class is due in full at the time of enrollment. By enrolling in our program, you acknowledge and agree to the following terms:

Tuition Fee Policy:

- All payments are non-refundable once paid

- Tuition may be transferred to another available class date within a session, with reasonable notice and at the sole discretion of program administration

- Transfer requests are subject to space availability in the desired session

- No refunds or credits will be issued for individual missed classes

Cancellation Policy:

Program-Initiated Cancellations

Full refunds or program credits will be issued in the following circumstances:

- Minimum enrollment requirements are not met for the session

- Cancellation due to unforeseen circumstances within our control

- Any other program-initiated cancellation

In these cases, enrolled families will have the option to:

1. Receive a full refund of paid tuition

2. Apply the paid tuition as credit toward a future session

Family-Initiated Cancellations:

- No refunds will be issued for family-initiated cancellations

- Families may request to transfer their enrollment to another available class within the session

- Transfer requests must be submitted in writing to program administration at farmandforestschool@pluckypalomino.com

Additional Terms:

- All transfer requests are subject to availability

- The program reserves the right to modify these policies with appropriate notice

- Exceptions to these policies may be considered on a case-by-case basis at the sole discretion of program administration

I agree to the registration and cancellation policy.

Media Release

We will be taking pictures during your child's activities and adventures throughout the day. We seek your consent for the publishing or use of media in which your child may be included. The media may also be used for marketing or advertising via email, our website, or social media. If you wish to take back your authorization later on, you may do so in writing. For the protection and privacy of your child, we guarantee that names and other personal information will not be included.

I agree to my child's photograph being used for Plucky Palomino media.

I do not agree to my child's photograph being used for Plucky Palomino media.

Liability Waiver and Release

Please read and consent to our liability and release waiver.

I have read, understand and fully agree to the terms of this liability waiver and release.

Family Handbook

Please read and print a copy of our family handbook.

I have read the family handbook and understand and agree to Plucky Palomino Farm & Forest School expectations and policies.

Sunscreen & Bug Spray Authorization

We ask that you apply sunscreen and insect repellent at home before arriving. If you'd like us to reapply during a class, please select your options below. Please send labeled products in your child's backpack for reapplication.

I authorize Plucky Palomino staff to apply and reapply sunscreen and/or insect repellent to my child as needed during programming.

Please apply (check all that apply):

My child's own product (sent labeled with their name)

A farm-provided product

Known product sensitivities or allergies:

How did you hear about us?

If a specific person or business referred you, please list them here:

Signature

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