Winterberry Farm Program Registration Form

To register, send form below with payment. Make checks payable to "Winterberry Farm" and mail to:

Winterberry Farm
PO Box 701
Leverett, MA 01054

Full payment is requested for day programs; a 50% deposit for longer programs.
Some scholarship money is available—please ask!

Program 1 Name: _____________________ Program 1 Date: ___________________

Program 2 Name ______________________ Program 2 Date: ___________________

Name(s): __________________________________ Age (for kids): ___________

Address: _______________________________________

_______________________________________________

City: __________________ State: ______

Zip: ____________

Phone: _______________ E-mail___________________________

Contribution to farm scholarship fund: _________ Total enclosed: _________

Winterberry Farm is a small family teaching farm. We raise much of our own food, we offer very small programs for families, for kids and for adults. We provide a place where people of different faiths- and people seeking faith- can reflect upon and share their call to care for the earth.