Summer 2025 Registration

Student's First Name

Student's Last name

Student's School

Student's Grade (2025-2026 School Year)

Parent's First Name

Parent's Last Name

Parent's Phone Number

Parent's Email

First Name (Emergency Contact)

Last Name (Emergency Contact)

Relationship to Student (Emergency Contact)

Phone (Emergency Contact)

Parent's Address

Which week will your student be attending? (Only select 1)

June 23-27

July 21-25

What are some of your favorite outdoor activities?

I give New Ag School permission to use photos, video, or other media of me/my child for promotional and educational purposes in print, online, and other formats.

I understand the risks of participating in New Ag School programs and agree not to hold the school, staff, or volunteers liable for any injury, loss, or damage that may occur during or as a result of participation.