Munnell Run Farm
Program Online Registration Ages 10-12

      Please review the following information prior to registration:
1)Attendance is by pre-registration only.  Please register now for any programs                   you plan to attend.
2)Programs may be canceled due to inclement weather.  If there is any doubt,                      please call the office the day of the program. 
3)Children should wear clothing that can get stained, dirty and/or wet.  Sun block               and insect repellent are also recommended as needed.
4)Please arrive 10 minutes prior to the programs to sign in and receive nametags.
5)Please call us if for some reason your child cannot attend a program for which                he or she is registered.

         REGISTER BELOW:
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Instructions:  Please complete the form below and click the submit button when you are finished.  If you provide an e-mail address, a confirmation will be sent.
  Hint: Use your "Tab" button to move to the next field in the form.
Parent Name (include relationship to child if not parent)
Today's Date
Street Address
City
State
Zipcode
Home Phone
Work Phone
Cell Phone
E-Mail Address
Emergency Contact
Emergency Contact Phone Number
Child's Name (# 1)
Age
Name of program and date child will be attending
Child's Name (#2)
Age
Name of program and date child will be attending
Child's Name (#3)
Age
Name of program and date child will be attending
Total number of children attending
Is there anything we should know that will help us make this a successful learning experience for your child? (e.g. special learning needs, health conditions, etc.) PLEASE LIST BELOW
You must click the "Submit" button to send the registration form.
Click the "Reset" button to  clear the form if you wish to start over.
A "thank you" page will appear if your registration form  was sent successfuly
about us  -  calendar  -  education  -  gallery  -  news  -  special events  -  supporters  -  watershed  -  home
Click Here to Print the Required Permission Slip