New Student

Thank you for joining us at Evergreen Farm!

Please complete the brief form below. All students are required to submit this form once. If any of your details change, please let the team at Evergreen Farm know right away.

By submitting this form, you acknowledge that you have read and agree to the
Student Agreement & Release Waiver

Name

First Name

Last Name

Phone Number:

(###)

###

####

Address:

Emergency Contact Name (and their relation to you):

Emergency Contact Phone Number:

(###)

###

####

Please share any injuries, conditions, or recent surgeries that the teachers should be aware of (if none write N/A):

How did you hear about Evergreen Farm?

Check below:

I confirm that all of the above information is correct. I agree to update the team at Evergreen Farm immediately when any of these details change.

Check below:

I have read and agree to the terms and conditions explained in the Student Agreement & Release Waiver (linked above)

New Student

Thank you for joining us at Evergreen Farm!

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