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Hart Lane Farm - Sign-Up
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Email
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Your email
How many children will be coming with you (each adult needs to register separately)?
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Have you or anyone coming with you had covid-19 symptoms in the past two weeks, or contact with someone who has?
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Yes
No
Are you vaccinated?
*
1) Yes, one dose
2) Two doses and awaiting full protection
3) Fully vaccinated
4) No
Are you registering for the Kid's Time farm activity at 9:30 a.m.?
Yes
No
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If you plan to attend the Kid's Time farm activity, please list the names of the guardian(s) and children attending below.
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