Parents Night Out
Parents, take a Friday night off this holiday season while your kids play on the farm! Kids will watch a holiday themed movie under the stars and enjoy a pizza dinner made in our cob oven! Whether you plan on spending quality time with yourself or another, you can be assured that your kids are in good hands. Children ages 5 to 12 are welcome. Take some time to reconnect, relax or finish up any holiday shopping and gift wrapping you may have. Your kids will have a safe, happy and engaging evening on farm.

Friday, December 20th
4:30-8:30
$25
 


December 20, 2019
December 20, 2019 4:00pm [Pacific Time]
598 N. Fairview Ave.
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Registrant Fee: $0.00


Billing information


Billing and Payment
Billing and payment processing for Businesses' events is performed by Member Solutions, Inc. ("MSI"), and this contract is specifically assigned to MSI for all such purposes. Customer knowingly and irrevocably authorizes MSI to charge electronically Customer's bank account and/or credit card for any and all amounts due for Customer's, and anyone registering under Customer's, attendance and participation in the Event. Please note, you may see all or any portion of the following on your bank or credit card statement: "MSI*THECENTERFORURBANAGR 8882448044 ONLINE REG FEE". Any returned payment will be assessed a $25.00 fee. Any unsuccessful electronic transaction is subject to a $10.00 processing fee. MSI is not responsible for any bank fees incurred by Customer. MSI has the sole right to resubmit returned or declined items (plus applicable fees) without prior notice. BILLING INQUIRIES -- 888-244-8044 or by mail to PO Box 297, Hatboro, PA 19040.

Applicant Agreement
I represent that I am the person who appears on the application above. I acknowledge and agree to the statements, terms and conditions above, as well as any applicable terms and conditions for this registration, and that by typing my name below and completing this registration form, I am electronically signing the document, which will have the same legal effect as the execution of the document by a written signature and shall be valid evidence of my intent and agreement to be bound.

Applicant Signature
Please enter your full name in the space below.
 


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Registration inquiries:
education@fairviewgardens.org
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Child's Information


REFUND POLICY
Registration is non-refundable. PNO will be cancelled and rescheduled to another date if raining.


BILLING AND PAYMENT
Billing and payment processing for Businesses' events and programs is performed by Member Solutions, Inc. ("MSI"), and this contract is specifically assigned to MSI for all such purposes. Customer knowingly and irrevocably authorizes MSI to charge electronically Customer's bank account and/or credit card for any and all amounts due for Customer's, and anyone registering under Customer's, attendance and participation in the Event. The phrase "8882448044 ONLINE REG FEE" or "MSI*THECENTERFORURBANAGR" will appear on your bank or credit card statement. Any returned payment will be assessed a $25.00 fee. Any unsuccessful electronic transaction is subject to a $10.00 processing fee. MSI is not responsible for any bank fees incurred by Customer. MSI has the sole right to resubmit returned or declined items (plus applicable fees) without prior notice. BILLING INQUIRIES -- 888-244-8044 or by mail to PO Box 297, Hatboro, PA 19040.
Check this box to indicate that you have read and agree to all of the above terms & conditions

I agree to the following

In consideration for being accepted by FAIRVIEW GARDEN/THE CENTER FOR URBAN AGRICULTURE to participate in the below described program, we (I) [and on behalf of our (my) child-participant] do hereby release, forever discharge and agree to hold harmless FAIRVIEW GARDEN/THE CENTER FOR URBAN AGRICULTURE and the staff thereof from any and all liability, claims or demands for personal injury, sickness, or death, as well as property damage and expenses, of any nature whatsoever which may be incurred by the undersigned and the child-participant that occur while said child is participating in the Fairview Gardens Youth Programs.

Furthermore, we (I) [and on behalf of our (my) child-participant] hereby assume all risk of personal injury, sickness, death,

damage and expense as a result of participation in recreation, including tree climbing, and/or work activities involved therein. I authorize the staff of Fairview Gardens to act for me according to their best judgment in any emergency requiring medical attention. I understand that I will be financially responsible for all charges and fees incurred in the rendering of said emergency treatment, regardless of whether or not my medical insurance would cover such charges and fees. I further understand that I am required to maintain and carry accident insurance coverage for the child listed on this application, and verify that the coverage information that I have provided is accurate and true. I have no knowledge of any physical impairment that would be affected by the above named camper’s participation in the camp program as outlined in the brochure. I also understand that the Fairview Garden program's retains the right to use for publicity and advertising purposes, photographs of children taken at the farm. Further, authorization and permission is hereby given to said program to furnish any necessary transportation, food and lodging for this participant.

The undersigned further hereby agree to hold harmless and indemnify said FAIRVIEW GARDEN FARM/THE CENTER FOR URBAN

AGRICULTURE, its administrators, employees, for any liability sustained by any other participant as the result of the negligent,

willful or intentional acts of this participant, including expenses incurred attendant hereto.

We (I) are the parent(s) or legal guardian(s) of this participant, and hereby grant our (my) permission for him (her) to

participate fully in said program.

Digital Signature

Photo and Video Release - Please help support our Farm!

Ihereby authorize The Center for Urban Agriculture at Fairview Gardens (CUAFG) andthose acting pursuant to its authority to photograph, video tape, or use anyother electronic method of recording my likeness and/or voice to be used at CUAFG’sdiscretion in Fairview Gardens publications and/or web sites.  The photographs and/or video footage will notbe digitally manipulated to change its content.

 

Ihereby give CUAFG the absolute right and permission, without restrictions, to make,copyright, and/or use, re-use, or publish said photographs/video footage of mein which I may be included in whole or in part, and waive any right to inspectand/or approve the finished printed materials, videos and/or web sites where myimage appears.  I further consent that myname and identity may be revealed therein or by descriptive text or commentary.

 

Irelease CUAFG  and those acting pursuantto its authority from liability for any violation of any personal orproprietary right I may have in connection with such use.  I understand that all such recordings, inwhatever medium, shall remain the property of CUAFG. 

 

Iwaive any right to compensation for my appearance in these printed documents,videos or web sites in any and all future uses of the photographs and/or videofootage.

 

I have read and fully understand the terms of this release.

Photos and videos are used to promote future programs, secure funding, and ensure we are able to continue offering exceptional educational programs. 

Thank you for supporting the Farm!
Digital Signature

Winter Parents Night Out
December 20th, 2019
4:30-8:30pm

Send your child with warm clothes and a water bottle! The rest will be provided.
Optional: folding chair & blankets

How drop-in works:
Drop-ins are welcome, space pending
One child- $25
 
 
 
Pick up is promptly 8:30pm, a dollar will be charged for every minute there after. 


Program Location + Parking Info

We will meet at Sister Mulberry near the Farmhouse. Please park at the First Church of Christ Scientist at 480 N. Fairview Ave. adjacent to the Goleta Library and walk up the driveway to the farmhouse.
For the safety of children and animals on the farm, please do not park or drive onto the farm. 

Registering more than one child?

Please contact educaiton@fairviewgardens.org to receive a promo code for a sibling discount.