Registration Form

Today's Date: *
Today's Date:
SPRING TERM SELECTIONS: JANUARY 16th - MAY 18th
Priority Registration for previous Spring and Fall students opens November 1st General Registration opens November 11th
Chickadee Group
2 - 3 1/2 year olds
Sparrow Group
3 1/2 - 5 year olds
After School- Meadowlarks
Ages 4-6
CUSTOM ENROLLMENT SELECTION
If none of the above selections apply please enter the specific dates or schedule you would like here! This may include registration for partial terms and requests for future terms or drop-ins.
Participants Information
Child's Name *
Child's Name
Address *
Address
Primary Parent / Guardian Contact
Name *
Name
Home / Work Phone *
Home / Work Phone
Cell Phone *
Cell Phone
Would you like to be contacted via Text Message? *
Check the box if your address is the same as the participants
If not, please provide address below
Address
Address
Secondary Parent/ Guardian Contact
Name *
Name
Home / Work Phone *
Home / Work Phone
Cell Phone *
Cell Phone
Would you like to be contacted via Text Message? *
Check the box if your address is the same as the participants
If not, please provide address below
Address
Address
Referral Credit
Person who referred you to Half Acre Woods (They will receive 10% off on their next purchase)
Person who referred you to Half Acre Woods (They will receive 10% off on their next purchase)

Please Note: Once the registration form is submitted you will be emailed the Medical Form, Pick-Up Authorization Form and Liability Waiver to submit before the first day of class.

 

Receive 10% off your total for the next term for each referral that enrolls!

Tell your friends and family about us. There's no better way to support a program you appreciate than to share it.