Emergency and Permission Form

Please fill out a separate emergency form for each child.

Medical and Emergency Information

In case of an emergency we will always try to contact parents/guardians first. Should we be unable to reach you, please give us the names and phone numbers of two other people we should definitely be able to reach during the hours your child is at the farm:

I certify that the above information is correct

Donate to our Scholarship Fund
Visit us in Chapel Hill


6407 Millhouse Rd
Chapel Hill, NC 27516
Phone: (919) 968-8581



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