Munnell Run Farm – Mercer, PA

Seasonal Programs Registration

Please review the following information prior to registration:

Pre-school programs are for ages 3, 4 and 5. Elementary programs are for ages 6-9.
NOTE: ALL PRESCHOOLERS MUST BE ACCOMPANIED BY AN ADULT!
Attendance is by pre-registration only. Please register now for any programs you plan to attend.
Programs may be canceled due to inclement weather. If there is any doubt, please call the office the day of the program.
Children should wear clothing that can get stained, dirty and/or wet. Sun block and insect repellent are also recommended as needed.
Children should bring a drink and snack unless otherwise noted.
Please arrive 10 minutes prior to the programs to sign in and receive nametags.
Please call us if for some reason your child cannot attend a program for which he or she is registered.

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.

PLEASE READ THE INFORMATION ON THE FLYER CAREFULLY BEFORE COMPLETING THE REGISRATION BELOW.

Click here to open flyer

Click here to print the required permission form.

Guardian Information
Fields that are marked in red are required.

Guardian Name:

Home Phone:
Work Phone:
Cell Phone:
Emergency Contact:
Emergency Phone:

Address:

City, State & Zip

Email:

Will parent be attending with child / children?

YesNo

Child / Children Information

	Name:	Age:	Name of program and DATES/TIME child will be attending
Child #1:
Child #2:
Child #3:

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: