Abbotts hill animals🐷& art🎨:                          

🏫School's off! 📆 Sept 26th, 2022

🍂Fall themed drop-off class

  • Come make animal inspired art with a local art teacher

  •  learn about our animals on the farm!

  • 📆Sept 26th, 2022

  • 🕰️9-12 pm

  • 💲Cost: $60 per class, paid at time of registration.
         (Sibling & multiple session discounts available.  Please let us know at time of signing up)

  • all art materials included

  • 👧🏻🧒🏽Children ages 5-12 (suggested ages)

  • 🏞 Class location: 5 abbotts hill road, newtown, ct 06470

🧴Parents/guardians: please apply sunscreen before coming  to camp

🧃🥨Each child should bring water & a small nut-free snack

👟Each child should bring a towel, wear comfortable clothing & closed toed shoes/sneakers.

💲Payment options:
-Venmo: @Naomi-DaPazRibeiro
-Paypal: PayPal.Me/ndrcounseling
-Check: made payable to ndrcounselingservices.  
              mailing address: 5 abbotts hill road, newtown, Ct 06470.
-Cash- please arrange with me personally


🌼nurture with nature (newtown):
by Naomi DaPaz Ribeiro, LCSW
email: nurturewithnaturenewtown@gmail.com
Fb: nurture with nature-newtown
Telephone: (203) 491-0802
website: abbottshillfarm.com

Sign in to Google to save your progress. Learn more
Email *
Child’s  Name:
Child’s  age/grade entering:
Gender/ Preferred Pronouns:
home address
Parent/Guardian Name:
Cell Phone:
Email:
Emergency Contact:
Emergency Contact Phone Number:
Authorized adult(s) to pick up camper (relationship & tel number)
 (2nd) Authorized adult(s) to pick up camper (relationship & tel number)
Allergies:
Does your child have any medical, physical, or emotional conditions ?  Yes ( please explain):
Preferred hospital in case of emergency:
Primary Doctor & tel number:
Does your child have an IEP or 504 plan during the school year? If so, this information would be helpful in programming and individualizing your child’s needs with us. (a copy of your child’s 504 plan or IEP plan would be beneficial if you can attach):
Tell us about your child’s strengths. What are they good at  (socially, emotionally,  academically, family, friendships etc):
What is something you would like us to know about your child:
Any additional info you would like to provide:
 *I have signed the  camp waiver form & have emailed a copy to nurturewithnaturenewtown@gmail.com   (waiver form found in link below)
https://docs.google.com/document/d/1jkfE8BmdeDkuLxkpZWyNJkWEIO1rIXEvpklIAiFHJgY/edit?usp=sharing
Class payment method
Clear selection
How did you hear about us?
Clear selection
🌼 See you soon at the farm, friends! 🐐🐖🐑🐔🐈🐕
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms