May 6, 2024 - Client Open House Registration Form

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Do you know someone with dementia who might benefit from our program?
Are you wondering how they might walk or move around on the farm?

Please join us for an Open House on Monday, May 6, 2024 to learn more about our day program!

Location

Andrew's Farm Market and Winery
9365 10th Sideroad
Milton, Ontario L9T 2X9

Time/Date: Monday, May 6, 2024 from 12:00-4:00pm (drop-in)

What

Garden tour, learn about what our program offers, and light refreshments.

Parking

There is ample parking at the farm, you will need to walk a bit to get to the Sensory Garden plot
(past the barn/storefront) down the lane to the right.

First Name *

Last Name *

E-mail *

Phone number *

I will be bringing a person who is interested in the program. *

Yes

Other:

If you responded "Yes" to the question above, please enter the name of your guest below: *

Format: First name Last name

Please enter the email of your guest below. (optional)

I (or we) confirm that I (or we) understand this aspect of the registration form as a notice of photography during Green Care Farms' Open. *

Yes

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