Canterbury Creek Farm Schools

Canterbury Creek Farm Schools - Enrollment Form


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Enrollment Application

Please Complete:

Today's Date:

Parents Full Name:

Child's Full Name:

Sex:

Birth Date:

ex: 10/16/2000

Age:

Address:

City:

State:

Zip:

Email:

Home Phone:

Classes and Priority: (pricing reflects 2008-2009 tuition)

Please check 2 choices and indicate priority selection:

Priority	Selection
	Tuesday/Thursday a.m. - Only $126/month (3 hours/day)
	Monday/Wednesday/Friday a.m. - Only $180/month (3 hours/day)
	Tuesday/Thursday p.m. - Only $126/month (3 hours/day)
	Monday/Wednesday/Friday p.m. - Only $180/month (3 hours/day)

Enrollment Policy and Conditions Click here

I have read and understand the enrollment policy and conditions

Please use this space for any special notes about your child:

Need Help?
?
For a detailed overview of the enrollment process click here!