This is the sign up form in order to receive weekly Barn Buddy sessions for Fall One Session October 8th- November 11th. Availability is on a first come first serve basis. As always, sessions are also dependent on volunteer availability. Please look for an email by September 20th for your enrollment status and details. Thank you for your patience!

Participant Name *

First Name

Last Name

Participant Age (As of October 8th) *

Parent/Guardian Name *

First Name

Last Name

Please let us know if your email, phone number, or mailing address has changed since last session.

Please indicate your request for FALL TWO SESSION! *

Keep, Change or New?

IF REQUESTING A CHANGE- Please check ALL POSSIBLE times on MONDAYS your child could attend.

10:00am

11:00am

3:00pm

4:00pm

5:00pm

6:00pm

None

IF REQUESTING A CHANGE- Please check ALL POSSIBLE times on TUESDAYS your child could attend.

10:00am

11:00am

3:00pm

4:00pm

5:00pm

6:00pm

None

IF REQUESTING A CHANGE- Please check ALL POSSIBLE times on SATURDAYS your child could attend.

9:00am

10:00am

11:00am

12:00pm

None

Feel free to update us on your child's current favorite things and interests!

Feel free to update us on your goals/hopes for your child's participation at Justin's Place.

Thank you! As soon as we have a confirmed schedule, we will let you know via this email.

Contact
Justin’s Place
3705 High Bridge Rd
Wilmore, KY 40390
Phone: 859-215-7111
Email: hello@justinsplaceky.com

Quick Links
Our Story
Barn Buddies
Events
Volunteer

Justin’s Place is a 501c3 nonprofit
registered in the US, registration number 84-4489767