Stony Kill Homeschool on the Farm - Fall THURSDAY MORNING Series - 9:30am to 11:30am

Join us for Homeschool on the Farm! Homeschool runs for 10 Thursday morning sessions, from September 26 - December 5 and are held from 9:30-11:30 am. Limit to each session is 12 students. Recommended ages 5-12. Homeschool on the Farm grown-ups may drop-off your student(s) or stay if you plan to be engaged with the learning!

Contact for questions/comments: Sinead Roche, Program Director, Stony Kill Foundation at sinead@stonykill.org or 845-831-3800

Register for Thursday Morning Sessions (ages 5-7)

Please indicate if you have already completed a registration form for a child in another age group section: *

Not yet, or Not applicable

Yes

Select Number of Children for Thursday Morning Session *

$250 - One Child

$350 - Two Children

$450 - Three Children

$0 - None

Select Number of Children for Thursday Morning Session (2nd/3rd/4th Sibling discount) *

$100 - One Child

$200 - Two Children

$300 - Three Children

$0 - None

Parent/Guardian Name *

First Name

Last Name

Parent/Guardian Email *

Verify Email *

Opt out from Stony Kill Foundation's monthly E-newsletter with program announcements

Parent/Guardian Phone *

Address *

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Do you plan to drop off your child or stay and participate in the program with us? *

Drop off

Stay and participate

Not sure

Child Name *

First Name

Last Name

Child Date of Birth *

(mm/dd/yyyy)

What pronouns does your child use? *

(e.g. he/him, she/her, they/them...)

Describe any Medical Conditions, Allergies, Special Diet, Emotional, Behavioral, or Learning Needs, or other Relevant Medical Information that relates to their time with us - Child 1 *

if not applicable, enter "n/a"

Child 2 Name

First Name

Last Name

Child 2 Date of Birth

(mm/dd/yyyy)

What pronouns does your 2nd child use? *

(e.g. he/him, she/her, they/them...)

Describe any Medical Conditions, Allergies, Special Diet, Emotional, Behavioral, or Learning Needs, or other Relevant Medical Information that relates to their time with us - Child 2 *

if not applicable, enter "n/a"

Child 3 Name

First Name

Last Name

Child 3 Date of Birth

(mm/dd/yyyy)

What pronouns does your 3rd child use? *

(e.g. he/him, she/her, they/them...)

Describe any Medical Conditions, Allergies, Special Diet, Emotional, Behavioral, or Learning Needs, or other Relevant Medical Information that relates to their time with us - Child 3 *

if not applicable, enter "n/a"

Is there anything else you would like us to know?

Photo Release *

We occasionally take photos/video during Homeschool. May we include you or your child's image in materials used for Stony Kill Foundation's social media, website, and related publications to tell others about our programs?

Yes

Secondary Emergency Contact

Second Emergency Contact Name *

First Name

Last Name

Second Emergency Contact Daytime Phone *

Comments (if applicable)

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