Enrollment Request

Please fill out the enrollment form below, and we will be in touch with next steps. We are excited to welcome your family to the farm.

*Please understand that space is limited, and registration is not guaranteed until confirmed and deposit is received.

Parent Information

First Name

Last Name

Relationship to child

Phone

(###)

###

####

Child's Information

First Name

Last Name

Child's Birthdate

YYYY

How many days a week?

Allergies

Please list any food, animal or any other allergies your child has

Medical Conditions

Please list any medical conditions or special needs

Current Preschool/Childcare Situation

How did you learn about us?

What draws you to Root and Rise Farm School?

Has your child participated in any nature-based or farm-based programs before?

Yes

Does your child have any social, emotional, or developmental needs we should be aware of?

Anything else you'd like us to know about your child or family?

Are you interested in scheduling a tour?

Yes