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Mommy & Me Sign-Up Form

To register, please fill out this form online, print, sign and date. Send this form along with a check paid in full to the address at the bottom of the form.

Child's Name:
Male Female  Age:   Birth Date:

Child's Name:
Male Female  Age:   Birth Date:

Name of Parent/Guardian:

Permanent Address:
 
City:  State: Zip:
Email: (required)

 

Permanent. Home Phone: Cell Phone:

Emergency Phone: Summer Phone:
Class Choices Group Name Days of the Week # of Weeks Start Date Tuition
First Child:
Second Child:

For your information

  • There are no refunds given for any cancellations after May 31st.
  • There will be a $25 service fee applied to all changes.
  • There is a $25 fee for all cancellations before May 31st.
  • There is a $30 fee for all returned checks.
  • Please keep your child home if they appear to be getting sick.
  • There is no class on Friday, July 4th
  • $35 a class.

I wish to enroll my child in the above session(s) with the understanding that I or my child’s caregiver is responsible for my child’s behavior in class and during animal time. This is crucial in order to maintain a fun, safe environment for both the children and the animals.

I have read and fully understand the above terms.
Parent's Signature: Date:

To register, please fill out this form online, print, sign and date. Send this form along with a check paid in full.

Make payable to:
The Art Farm •  P.O. Box 1976 • Bridgehampton, NY 11932
Phone 631.537.1634 • Fax 631.537.2295  email: info@theartfarms.org