Playful Nature Explorers 2023-2024 Registration Form
Please fill out this form for each child you wish to register for Playful Nature Explorers. ICG staff will get back to you once you complete the form to let you know if space is available or to see if you are interested in being on a waitlist. Each day of the week will have its own waitlist.
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電子郵件 *
Child Name *
Parent/Caretaker 1 Name  *
Confirm Parent/Caretaker 1 Email Address *
Parent/Caretaker 1 Phone Number *
Parent/Caretaker 2 Name
Parent/Caretaker 2 Email Address
Parent/Caretaker 2 Phone Number
Home Address *
Child Birth Date *
MM
/
DD
/
YYYY
Is your child potty trained? Please see our FAQ for more information if you are unsure. *
How many days per week are you interested in enrolling? Please note that we prioritize 4-day schedules. *
Which days of the week are you interested in enrolling? *
必填
If you have any other information about the days you wish to register, please share them here. This may include only being interested in a 4-day schedule, being ok with any 2 days of the week, etc.
What are your child's pronouns?
清除選取的項目
Please tell us a little about your child.
Are there any special concerns that we should be aware of? Allergies? Dietary restrictions?
Please tell us about any accommodations that will help your child thrive at Playful Nature Explorers
Do you give permission for your child’s photo to be taken during the activity and for any photo to be use for documentation and publicity purposes.
 *
Does your child require a need-based scholarship to attend Playful Nature Explorers? Please follow this link to fill out the form AFTER completing this registration: https://forms.gle/3ytnWiCaszrQXK2S6 *
Emergency Contact (Name and Phone Number)- This should be someone OTHER than the parent/guardian(s) listed above. *
Please list all of the people approved to pick up your child from the program, including phone numbers. *
For demographic purposes, which of the following describe your child? (Choose all that apply)
How did you hear about Playful Nature Explorers?
Do you have any questions for us?
系統會透過電子郵件將你的作答內容複本傳送到你所提供的地址。
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