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2023 LEAF Program Sign Up
The LEAF Youth Program at Common Good City Farm is designed for 5-12 year olds, although all youth are welcome. Class is on the farm (300 V St NW) on Sundays and Thursdays from 4:30-5:45.
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Email
*
Your email
Your Name
*
Your answer
Home address
*
Your answer
Phone Contact Number
Your answer
Has your child(ren) previously attended the LEAF program?
*
In person
Virtual
New to the program
Required
Are you interested in attending LEAF class on site at Common Good?
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Yes
No
I'm interested in other resources or programming
Other:
Required
What is your child's name? (Child 1)
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Your answer
What is your child's name? (Child 2)
Your answer
What is your child's name? (Child 3)
Your answer
What is your child's date of birth (Child 1)
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MM
/
DD
/
YYYY
What is your child's date of birth (Child 2)
MM
/
DD
/
YYYY
What is your child's date of birth (Child 3)
MM
/
DD
/
YYYY
What school(s) do they attend? What grades?
*
Your answer
Any questions or notes for us?
Your answer
What is your child's ethnicity? (for grant reporting purposes only)
Hispanic or Latino
Non Hispanic or Latino
Other:
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What is your child"s race? (for grant reporting purposes only)
American Indian and Alaska Native
Asian American
Black or African American
Native Hawaiian or other Pacific Islander
Arab American / Middle Eastern / North African
White
Other:
Clear selection
Federal Poverty Line Chart
What percentage of FPL do you fall into based on you household size? Please refer to the Federal Poverty Line chart above. Please find your household size and then the dollar amount that falls closest to your annual income to determine the %. (For grant reporting only)
Under 100%
101-132%
133-137%
138-149%
150-199%
200-249%
250-299%
300-399%
400% or more
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