Registration Form

How did you hear about Common Threads Farm?: *

Child's First Name: *

Last Name: *

Gender:

Male

Female

Birth Date: *

Age: *

Does your child have any allergies?: *

Yes

List Allergies:

Describe reactions to allergies listed above:

List any other health conditions: *

if none, please list "none"

My child has special needs and/or restrictions as specified:

Please choose the program or programs for which you would like to register this child:

Wednesday After School:

April 10 - June 12

September 11 - November 13

Wednesdays, 1:15-4:00pm
Registration $295/person

Where will your child be coming from for Wednesday After School?:

Would you like your child to take the "walking school bus" to camp?:

Yes

The "walking school bus" option is available only at Larrabee, Lowell, and Happy Valley.

Preschool Farm Camp:

Wednesdays, May 1-22

Thursdays, May 30-June 20 (FULL, check box for wait list)

New Session: Thursdays, May 30-June 20, 12:00-1:30pm

Wednesdays, September 4 - 24

10:00am-11:30am (unless otherwise noted)
Registration $75/person

Camp Pizza:

July 22-25

Recommended for ages 7-12
9:00am-3:00pm
Registration $185/person

Camp Pasta:

August 5-8

Recommended for ages 8-12
9:00am-3:00pm
Registration $185/person

Garden Corps:

July 8-11

July 29-August 1

2:00-5:00pm
Registration $80/person per week

Would you like to purchase a Common Threads t-shirt for your child?:

Yes

Size:

T-shirts are $16 each.
Sizes: Women (S,M,L), Men (S,M,L), Children (4,6,8,10,12)

Would you like to make a donation in support of a child who would not otherwise be able to attend?

Yes, I'd like to make a donation to the scholarship fund: $

Please enter amount here. This gift is tax deductible.

Do you have a second child who will be attending a Common Threads program?:

Yes

Child's First Name:

Last Name:

Gender:

Male

Female

Birth Date:

Age:

Does your child have any allergies?:

Yes

List Allergies:

Describe reactions to allergies listed above:

List any other health conditions:

if none, please list "none"

My child has special needs and/or restrictions as specified:

Please choose the program or programs for which you would like to register this child.

Wednesday After School:

April 10 - June 12

September 11 - November 13

Wednesdays, 1:15-4:00pm
Registration $295/person

Where will your child be coming from for Wednesday After School?:

Would you like your child to take the "walking school bus" to camp?:

Yes

The "walking school bus" option is available only at Larrabee, Lowell, and Happy Valley.

Preschool Farm Camp:

Wednesdays, May 1-22

Thursdays, May 30-June 20 (FULL, check box for wait list)

New Session: Thursdays, May 30-June 20, 12:00-1:30pm

Wednesdays, September 4 - 24

10:00am-11:30am (unless otherwise noted)
Registration $75/person

Farm Camp:

June 25-28 session is now full. Please contact Laura Plaut at laura@commonthreadsfarm.org if you would like to be placed on the waiting list.

Recommended for ages 4-7
9:00am-Noon
Registration $125/person

Camp Pizza:

July 22-25

Recommended for ages 7-12
9:00am-3:00pm
Registration $185/person

Camp Pasta:

August 5-8

Recommended for ages 8-12
9:00am-3:00pm
Registration $185/person

Garden Corps:

July 8-29

July 29-August 1

2:00-5:00pm
Registration $80/person per week

Would you like to purchase a Common Threads t-shirt for your child?:

Yes

Size:

T-shirts are $16 each.
Sizes: Women (S,M,L), Men (S,M,L), Children (4,6,8,10,12)

Do you have a third child who will be attending a Common Threads program?:

Yes

Child's First Name:

Last Name:

Gender:

Male

Female

Birth Date:

Age:

Does your child have any allergies?:

Yes

List Allergies:

Describe reactions to allergies listed above:

List any other health conditions:

if none, please list "none"

My child has special needs and/or restrictions as specified:

Please choose the program or programs for which you would like to register this child.

Wednesday After School:

April 10 - June 12

September 11 - November 13

Wednesdays, 1:15-4:00pm
Registration $295/person

Where will your child be coming from for Wednesday After School?:

Would you like your child to take the "walking school bus" to camp?:

Yes

The "walking school bus" option is available only at Larrabee, Lowell, and Happy Valley.

Preschool Farm Camp:

Wednesdays, May 1-22

Thursdays, May 30-June 20 (FULL, check box for wait list)

New Session: Thursdays, May 30-June 20, 12:00-1:30pm

Wednesdays, September 4 - 24

10:00am-11:30am (unless otherwise noted)
Registration $75/person

Farm Camp:

June 25-28 session is now full. Please contact Laura Plaut at laura@commonthreadsfarm.org if you would like to be placed on the waiting list.

Recommended for ages 4-7
9:00am-Noon
Registration $125/person

Camp Pizza:

July 22-25

Recommended for ages 7-12
9:00am-3:00pm
Registration $185/person

Camp Pasta:

August 5-8

Recommended for ages 8-12
9:00am-3:00pm
Registration $185/person

Garden Corps:

July 8-29

July 29-August 1

2:00-5:00pm
Registration $80/person per week

Would you like to purchase a Common Threads t-shirt for your child?:

Yes

Size:

T-shirts are $16 each.
Sizes: Women (S,M,L), Men (S,M,L), Children (4,6,8,10,12)

Registration Form

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