Register

You're registering for

The Sac Moms Social Club

Wednesday, September 16 · $15.00 per child

Parent / guardian

Full name

Additional parent / guardian (optional)

Phone

Start date

Children

Child 1

Child's name

Age

Allergies / medical notes

Learning needs / sensory support

Anything else to help your child feel comfortable

Consent & waiver

I give permission for my child/family to be photographed for Duck Dog Farms.

I understand that participation in farm programs involves inherent risks. I agree to release, waive, and hold harmless Duck Dog Farms from any claims arising from participation, except in cases of gross negligence. I confirm I have read and understood this waiver.

I have read and accept the liability waiver.

Type your full name (signature)

Draw your signature

The Sac Moms Social Club — first child$15.00

Estimated total$15.00

Final amount is confirmed securely at payment.