Class Registration

Please fill out the following information. You will receive a confirmation email from our education coordinator once we have received your online registration and your payment has been processed.

*(denotes required field)

First Name:*

Last Name:*

E-Mail Address:*

E-Mail Address again:*

Please enter your E-mail Address a second time.

Address 1*

Address 2

City*

State*

ZIP*

Preferred phone number*

Secondary phone number

Emergency contact (name and phone number)*

Ages of any attendees under 18

Title and date of class*

Please let us know if you have a disability and need special accommodations. If so, what do you require?

How did you hear about this class?*

Farm Newsletter
Newton Tab
Web search
Friend
Facebook
Other

If 'Other', please specify.

How are you planning on paying for this class?*

Online through Paypal
I will mail my check to the farm

I understand and accept Newton Community Farm's cancellation policy (located below class listings)*

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