Farm + Forest Club Summer Session Registration
*** All sessions are now full! Signing your child up will place them on the waiting list. ***

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Thank you for registering your child for Sweet Beet's Farm + Forest Club! 

We built our summer session to accommodate summer getaways; dates are à la carte, so families can choose which Thursdays work for them. 

Use this form to register for one, two, three... or all seven Thursdays of FFC Summer Session -- July 11th through August 22nd. 

Note: Summer hours are extended, 10am - 4pm, for six glorious hours of exploring the farm and surrounding forest. 
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Tuition is based on a self-selected sliding scale and on the number of Thursdays you choose. We ask that families please consider, from their current economic position, a generous amount to give. We are a nonprofit organization supported by community members, and any generosity above and beyond the base price makes offering sliding scale tuition possible. You can view the full scale on this form under "registration & tuition."

You can also choose a payment plan or to pay a different amount -- more or less (all the way to $0) -- based on your family's financial position. 
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Find more information about the Farm + Forest Club at kearsargefoodhub.org/ffc

With questions, email Julie at julie@kearsargefoodhub.org. 
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Email *
Parent/Guardian 
First + Last Name
 *
Relationship to Student *
Email  *
Mailing Address
(Please include town and state)
 *
Primary Phone Number + Type (cell?)

(Note: This number will be used first in all communications, including emergency situations, unless you let us know otherwise.)
 *
Please fill out one form per student.
Student Full Name 
First + Last, and a nickname if preferred
 *
Date of Birth *
MM
/
DD
/
YYYY
Current Age *
Gender & Pronouns *
Learning & Social Needs
Please share any thoughts and information about your child's learning style and social-emotional needs that you think would be helpful for educators to know. *
Health & Safety Needs
Please share any information regarding your child's health and safety needs, including medications, allergies (please indicate severity), disabilities, or dietary restrictions that educators should be aware of. Has your child ever been stung by a bee/hornet/wasp? If yes, how severe was the reaction?
 *
Does your child have an EpiPen? *
If your child has an EpiPen, do you give KFH staff permission to administer it if deemed necessary?
Clear selection
What else?
Please share any other information about your child you think might be helpful. What haven't we asked?
Sliding Scale Tuition Chart

Tuition is based on a self-selected sliding scale and on the number of Thursdays you choose. We ask that families please consider, from their current economic position, a generous amount to give. We are a nonprofit organization supported by community members, and any generosity above and beyond the base price makes offering sliding scale tuition possible. 

You can also choose a payment plan or to pay a different amount -- more or less (all the way to $0) -- based on your family's financial position. 
Date Selection
As dates fill, we will do our best to keep this form up-to-date, but know that selecting a date doesn't guarantee your child a spot. Should you select a date that is already full, you'll be placed on the wait list and notified as soon as possible. Thanks for your understanding!
Would you like to register this child for Thursday, July 11th?

*This date is full; your child will be put on the waitlist*
 *
Would you like to register this child for Thursday, July 18th?

*This date is full; your child will be put on the waitlist*
 *
Would you like to register this child for Thursday, July 25th?

*This date is full; your child will be put on the waitlist*
 *
Would you like to register this child for Thursday, August 1st?

*This date is full; your child will be put on the waitlist*
 *
Would you like to register this child for Thursday, August 8th?

*This date is full; your child will be put on the waitlist*
 *
Would you like to register this child for Thursday, August 15th?

*This date is full; your child will be put on the waitlist*
 *
Would you like to register this child for Thursday, August 22nd?

*This date is full; your child will be put on the waitlist*
 *
Take Note: How many Thursdays?
Take a moment to jot down the number of Thursdays (and the dates) you've chosen to register for. You'll need to know this number to pay your tuition. 
Select Your Payment Method

Note that you can also choose a payment plan or to pay a different amount -- more or less (all the way to $0) -- or request full tuition support. 

All payment information will be kept confidential. *
Required
NOTE: **The parent/guardian + phone number listed at the top of this form is the first person we will call in case of emergency**

Please provide at least one *other* emergency contact below.
Emergency Contact
Name + Relationship to Student
 *
Emergency Contact
Phone Number (list multiple, if desired)

Format: (XXX) XXX - XXXX
 *
Additional Emergency Contact (Optional)
Name + Relationship to Student + Phone Number 
Other Authorized Pick-ups
Who, besides the parent/guardian listed at the top of this form and the emergency contacts above, is authorized to pick up your child? 

Please list first and last names and phone numbers.
 *
Are you aware of any individuals that may try to pick up your child without your consent? If so, what are their names? *
Photo Waiver

I give permission for photographs and/or videos to be taken of my child as part of the program for public use, print or virtual, including on social media. No children's names will be used. 
 *
Required
Medical Care + Emergency Procedures

I authorize my child to receive first aid from KFH staff when deemed necessary and/or be treated by and transported to the nearest hospital by emergency medical personnel. I understand that I will be financially responsible for the cost of transportation and medical treatment. 

Signature of Parent / Guardian:
 *
I give KFH staff permission to administer Benadryl in the event that my child experiences what is deemed to be a life-threatening allergic reaction (such as hives around the throat / face or difficulty breathing). 

(Type caveats into "other.")
 *
Required
I give KFH staff permission to apply essential oil-based insect repellent and mineral sunscreen to my child as deemed necessary.

(Type caveats into "other.")
 *
Required
Covid-19
While we will use our best efforts to keep your child safe from the Covid-19 virus, we cannot promise or guarantee that this or any other pathogen will not enter our group, and that by the very nature of the personal interaction that takes place in our programming, there is always a risk of your child becoming ill with this or any other communicable disease. 

Agreement:
No members of our family will visit the farm if we, or anyone we have been in close contact with, has a confirmed or suspected case of Covid-19.

I understand that we are obligated to comply with all Covid-19 guidelines adopted by the Kearsarge Food Hub, including, when and if deemed necessary by farm education staff, masking and social distancing. We assume the risk of the Covid-19 virus, and will not hold the Kearsarge Food Hub or any affiliate or employee thereof liable if any of our family members contracts the virus.

Signature of Parent/Guardian:
 *
Parent / Guardian Agreement + Risk Acknowledgement

Please carefully read the following and sign below: 

We at the Kearsarge Food Hub / Sweet Beet Farm are honored that you are entrusting us with the care of your child. We take that responsibility seriously and have standards, policies, and procedures in place to ensure the health and happiness of your child. We want to acknowledge, however, that programs that take place on farms and in forests are inherently risky, and accidents can happen.

Many of the skills your child will be learning (using various age-appropriate farm tools, building fires, shelter-building, woods exploration, etc.) include elements that may be potentially dangerous. Participants will be closely monitored by well-trained farm educators who will guide students in practicing these skills in a safe and respectful way. We believe that allowing children to navigate appropriate risks is a vital part of quality outdoor education. (Read more about our philosophy about risk and the essential role risk plays in child development in our Parent/Guardian Handbook.)

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Agreement:

I recognize and acknowledge that there are inherent risks of physical injury in any outdoor education / recreation program and I hereby assume full responsibility for any liability, loss, claims, and demands that may accrue from any loss, damage or injury, including negligence that may arise from their participation. I certify that my child has had a physical within the last 6 months and is physically capable of participating in this program. I give permission for my child to use age-appropriate (as determined by KFH staff) tools under the supervision of farm educators during our programs.

I hereby (a.) release and discharge (b.) waive and relinquish and (c.) covenant not to sue the Kearsarge Food Hub (KFH), its respective administrators, directors, agents, officers, members, volunteers, employees, and owners and Lessees of premises on which activities take place from all liability, claims, demands, losses, or damage on my account caused or alleged to be caused in whole or in part by the negligence of any of the above named including the negligence of emergency operations.

It is my desire that my child be enrolled, as indicated in this application, subject to the above conditions.


Signature of Parent / Guardian:
 *
Registration & Payments
This registration form must be completed and submitted and tuition received (unless you are requesting to pay a different amount or using a payment plan) before your child is considered fully registered. If tuition is not received (or alternate arrangements have not been made) before the start of the first class, the student will not be able to participate.

Withdrawals & Refunds
As registration spots are limited, please let us know of your plan to withdraw your child as soon as possible. For withdrawals more than two weeks before the start of the session, we will refund the full tuition, minus a $25 fee. Cancellations within two weeks of the start date will receive a refund in the amount of 75% of their payment, minus a $25 fee. If we are able to fill your child's spot before the start of the program, we will refund the full tuition. If after the first class you decide that the program is not a good fit for your child, we will refund the tuition for the remaining sessions, minus a $25 fee. Refunds will not be given after the start of the second class.

Signature of Parent / Guardian:
 *
Any questions for us at this point?
All set! Please submit.
A copy of your responses will be emailed to the address you provided.
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