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We Garden Urbanly Registration Form
Please fill out this form for registration to program and to better assist your child's needs. More information will be sent out soon. We look forward in working with your child!
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* Indicates required question
Email
*
Your email
Parent's Name
*
Your answer
Best Phone Number (for emergencies/club cancellations/updates)
*
Your answer
Child's First Name
*
Your answer
Child's Last Name
*
Your answer
Grade
*
Grade K
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Does your child have any known allergies to smells or plants?
Yes
No
Clear selection
If Yes, what are the known allergies to smells and plants?
*
Your answer
Does your child have an known allergies to bees or other known bugs?
*
Yes
No
Maybe
If Yes, please state bug and medical needs.
*
Your answer
Is there any plant life in your home environment? If yes, please explain.
*
Your answer
Glove Size
XS
S
M
L
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Other thoughts, comments or ideas.
Your answer
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