Farm-School, New Student Registration
January - May 2024 (2nd semester)
Location:
Pilot Hill, CA 95664

This form is for NEW student enrollment, if your student attended the 1st semester they are already enrolled for the entire school year and there is no need to enroll for 2nd semester.

Early California History, Hands-on Farm Experiential Learning, Science, Language Arts, PE 
  • Monday 10:00a-2:00p
  • Wednesday 10:00a-2:00p

Billing, charter school info, etc.: Julie (530) 537-6395

Class enrollment, curriculum, etc.: Jenni (530) 497-0217

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Email *
2023-2024 School Year, Student & Family Information
Please fill out one online form for each student that will be attending.
Student First Name *
Student Last Name *
Gender *
Student's Birthdate *
MM
/
DD
/
YYYY
Address *
Street, City, State & Zip of primary residence of student
Primary Home Phone Number *
Parent/Guardian Contact Information *
Additional Parent/Guardian Contact Information
Billing Information

NOTE: This is a REGISTRATION form. You are responsible for fees at the time and date that you click "Submit" to finalize the form. This is not a wait list and is not a way to get more information about our program. If your registration is received, you will be responsible for the full amount of tuition due, regardless of attendance in the program, as we are holding your student's seat at the time of registration and curriculum packets will be made available to you. 

If your family experiences an unforeseeable tragedy and this tuition fee is a hardship, please let us know and we'll discuss at our next board meeting to make a tuition exception, if possible. This exception is only available in certain circumstances, and not all requests will be approved. 


Prices and fees:

This class comes complete with unit study style curriculum that addresses language arts, social studies, science & art. Payment must be made at the time of attendance and the curriculum files will be supplied to each student when payment is received. Payment is "per semester" at the time of enrolling and after the 1st class that has been attended. Curriculum may be printed out and used at home and suggestions are made for all age ranges for at home days. This curriculum is completely family choice as to implementation, so feel free to use what you'd like and disregard the rest. Curriculum provided is for students enrolled in the class ONLY and may not be shared with any other students. For a home-share license, please inquire with Jenni Odum (text:530-497-0217).

Total paid must be $625 per semester for 1 day or $1,080/semester for both days, and the commitment is for the remainder of the school year through May of 2024.

If you are with a charter school and they require a different breakdown for pricing/vouchers, please let Jenni Odum know and she'll provide you with the appropriate options and verbiage.
Payment Method: *
Registration Days *
Student Health Information:
Allergy Information *
Please include and and all allergies, including food products, medications, essential oils, cleaning products, etc.) along with treatment in case of exposure.  If your student carries an Epi pen, inhaler or medication, please list that here as well.
Additional Important Info
Please tell us any other important details we should know about your student:
Emergency Contacts & Authorized Adults for Student Pick Up
In the case of individual needs, I give permission for my student to receive (please inquire about ingredient info):
Additional Policies and Agreements:
Do you understand that a liability waiver must be on file with Chapel Bell Farms prior to students being left at the facility for class? *
Required
Have you previously spoken to Jenni Odum about class fit for your particular student? (If not and you have concerns, please text her at 530-497-0217 to set up a time to chat). *
Required
If you are enrolling with the intent that a charter school will be invoiced for your student, do you understand that if your charter school does not pay said invoice, that you are responsible for any payments due? *
I give permission for photos of my student to be used in promotional material.
A copy of your responses will be emailed to the address you provided.
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