Spring NaturePLAY Registration and Information Form 2024

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NaturePLAY will meet at Foxfire Woods and Farm 59 Foxfire Drive Nicholson, GA Tuesdays 10 am - 12 pm

Spring 2024 dates: March 19, April 16th, and May 21st (severe weather make up date May 28)

Limited Drop - In Classes Available: Have a friend visiting? Can only make one date? We have limited spaces for drop-ins. $20/class. Contact Ms Ali by phone or text to check availability for last minute drop-ins or pre-register online. 770-519-3185 Note: All attendees must be on your families' information forms, including drop-ins.

https://lazurelearningvill.wixsite.com/lazurelearning

This data is for staff and instructors, and in case of emergency, medical personnel, ambulance, EMT, hospital, etc. The MORE you provide about your child, the more we are able to tailor our classes and responses. We greatly appreciate any background information as we prepare our lessons.

Email *

Spring 2024 dates:

March 19, April 16th, and May 21st (severe weather make up date May 28)

$45 Full Season: March 19, April 16th, and May 21st

$20 Drop In: March 19

$20 Drop In: April 16th

$20 Drop In: May 21st

NaturePLAY is a PARENT-CHILD class. Who will attend with and be responsible for child(ren)?
*

Mom

Dad

Other:

How many children will participate? (Do not include babies <18 as participants. They may tagalong free, but please DO include their medical information below, just incase of emergency.)
*

Other:

Adult First Name *

Adult's Last Name: *

Adult's Facebook Profile Name:

Adult's Cell Number:
*

Mailing Address: *

County (not country): *

Preferred routes of communication:
*

Phone call (cell)

SMS Text (cell)

Facebook Messenger

GroupMe

Facebook Group

Other:

Required

Adult's Medical Information (acute or chronic medical needs to be aware of):
*

Adult's Allergy Information (ingestion vs. contact, include severity and treatment):

Adult's Dietary Restrictions (include all allergy, avoid, or preference):
*

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