Fall Harvest After School Program 2019

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Thank you for your interest in the Fall Harvest after school program. Please fill out the following form. A member of our team will get back to you with confirmation, final details, and next steps.

After school program is on Mondays for 4 weeks starting September 16th, from 4:00 pm - 5:30 pm. (Dates include: 9/23, 9/30, 10/7, 10/21)

Program costs $100 per Student.

Questions? Contact us at happenings@emeryfarm.com

Email *

Your Name (Parent/Guardian) *

Name of Student *

Name of School *

Grade

Third Grade

Fourth Grade

Fifth Grade

Sixth Grade

Other:

Student Date of Birth *

Phone Number *

I understand that a non-refundable deposit of $50 will be due once my student's attendance is confirmed. *

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