Up Yonda Farm EEC - Homeschool Program Registration
This form is used to collect information from attendees of Up Yonda Homeschool Programs to ensure availability of seating and materials. If you need to change or cancel your reservation, please call 518.644.9767 at least 24 hours prior to the program start.
What is your first name? *
Your answer
What is your last name? *
Your answer
Phone # 000-000-0000 *
Your answer
e-mail address *
Your answer
Are you a member of Up Yonda Farm EEC? *
Program date attending (Both January Dates are full. Please e-mail rlandry@warrencountydpw.com to be placed on a waiting list for January 14 or 15). *
How many adults? *
How many students? *
Students ages: *
Your answer
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