The Art Farm in the City: Registration Form

Registration Form

Please fill this form out online, then print, sign and fax or mail it to us (see below for contact info).

Child's Name:
Male Female Age:

SESSION:

Membership: $295 (click here to see membership benefits)

Group: Day: Time:

Start Date: Number of Weeks:

Name of Parent/Guardian:

Permanent Address:

City:

Zip:

Phone:

Cellular Telephone:

Fax:

Email: (required)

FEES:

Total Due:
Please remember to apply our 10% sibling discount

(If you are currently a member, or are joining on this form, please take the appropriate membership discounts from your total.)

On-going registration at a pro-rated tuition is available.
A $25.00 annual registration fee will be applied.

MC/V/AX: Exp:

Winter Semester
12 Weeks January 5th - March 27th

Rock Smocks and Animals, Curious Creatures, Baby Gym, Pigcasso's Art Extravaganza and Farmer's Helper	$420.00
Farm Friends	$540.00
Chef's On The Farm	$444.00
Play Group	1 Day per week $600 2 Day per week $1200 3 Days per week $1800

Membership: $295 (see discounts and benefits here)

Open House (Drop Off Optional for 2 Years and Older):
$20/day/child for clients enrolled in the current semester.
All others: $45 for 1 visit or buy a pass: $200 (5); $300 (10); $500 (20)

For your information:

We will gladly confirm your space upon receipt of this registration form and payment in full.
Refunds available at a pro-rated rate if you are not satisfied after your second class. We will not refund for missed classes.
There is a $30 fee for all returned checks.
We are happy to offer 2 make-up classes per session.
Class schedule subject to change due to insufficient enrollment.
Please keep your little ones home if they appear to be getting sick.

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

Parent's Signature:

If sending a check, make payable to:

The Art Farm In The City
PO Box 1976
Bridgehampton, NY 11932
Phone 212-410-3117 • Fax 212-410-3525