Springfield Green Corps Registration Form

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Program Dates: April 30 - June 6, 2024
Schedule: Every Tuesday and Thursday, 4:00PM – 6:30 PM
Location: ReGreen Springfield, One Federal Street, Building 101, Springfield, MA

Email *

Participant Name *

Participant Age (as of March 15, 2024) *

Participant Home Address *

Parent or Guardian's Name (if participant is under 18 years old)

Parent or Guardian's e-mail (if participant is under 18 years old)

I understand that I will need to complete a more detailed questionnaire before the start of the first session. *

Yes

Required

Privacy Statement

We value your privacy and are committed to protecting your personal information. The details you provide during the registration for the Springfield Green Corps Outdoor Adventure Program will be used solely for the purposes of program administration and communication. Please be assured that your information will not be shared with any third parties, nor will it be distributed to other participants in the program, their parents, or guardians. We adhere strictly to data protection principles and ensure that your information is secure and treated with the utmost confidentiality.

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