Spring Children's Garden 2024 Registration.

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Thank you for your interest in Marydell's Children's garden program!

The spring program will be held over five classes (May 10, 17, 24, 31 & June 7) from 4-5:30. Please send the registration fee of $175 via PayPal at the end of this form.

Email *

Child's name *

Child's birth date *

YYYY

Age *

School *

Grade *

Parent/Guardian's Name *

Address *

Phone number *

Who will pick up your child (name & phone number) *

Does your child have any medical conditions we should be aware of? If so, please specify *

Does your child have any food allergies? If so, please specify *

Backup emergency contacts *

I hereby release the Executive Directors and all employees of Marydell Faith & Life Center from all claims of liability for any damages or injuries that may be sustained while my child is in the Marydell Faith & Life Center Program. *

Yes

During our program we may take photos and/or videos to be used on our social media and marketing materials. I hereby give permission for images of my child to be used in connection with publicity, educational materials, or publications related to Marydell Faith & Life Center.
*

Yes

Signature of Parent/Guardian (type full name) *

Date *

YYYY

Payment
*

Children's Garden Fee -$175

Required

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