High Ridge Harmony Farm: Registration form
The information in this form is confidential and is only used by the High Ridge Harmony Farm Program team. The information is used to help us select the best environment and healing/wellness activities.
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Name of the person who will participate in the program (participant) *
Participant contact information  (email and/or phone).
If participant is a minor you do not need to share this information.
Parent/guardian/supporter name *
Parent/guardian/supporter contact information (email, phone) *
The referral is from
Would you like to take a Tour?  We offer tours on Saturday mornings - please select your preference
Tour time 9:45am-10:45am
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