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kelly@lewismeadows.com 812 Rodell Barrow Rd, La Grange, North Carolina, 28551
(919) 648 - 3669

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Lewis Meadows Farm & Forest School Enrollment Form

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Please fill out the form below to complete your enrollment. Once this form is completed, we ask that you download and fill out the Waiver Consent Form to bring with you on your first day. Payment for enrollment is due by the first day of the program or activity or can be made in advance.

    Child Information

    Child 2

    Child 3

    Returning Student



    Parent/Guardian Information

    Parent/Guardian Information

    Program Enrollment Details







    Health Information



    Additional Details






    Social Media & Marketing Consent

    At Lewis Meadows Farm & Forest School, we love creating joyful experiences for your little ones and capturing the heart of our community through photos and videos. To showcase the fun, learning, and adventures we share, we may feature images of our activities on our social media pages, website, and marketing materials.


    Yes – I grant permission for my child’s image to be used.No – I do not grant permission for my child’s image to be used.

    This consent is voluntary and can be revoked in writing at any time.

    Signature I certify that the information provided is accurate and complete to the best of my knowledge.

    Parent/Guardian Signature

    Date