Registration Form 08/05-08/09 Art & Ecology Adventures with Creative Nature NYC McCarren Park & 12 Newel St.

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Email *

Parent First and Last Name *

E-mail: *

Phone number *

Child's name: *

Age: *

Child’s allergies or any other relevant info we should know: *

Who will be picking up your child? Please write name, relationship and phone number if person is different from yourself. *

5 days is $ 575. Please check the rate that applies to you: *

Payment with Zelle is $ 575.

With Venmo there is a + 1.9% +$ 0.10 Venmo business transaction fee ($ 11.02) for a total of $ $ 586.02

Full week – 10 % (siblings discount, early bird or flash sale) is $ 517.5 with Zelle.

Full week – 10 % (siblings discount, early bird or flash sale). With Venmo there is a + 1.9% +$ 0.10 ($9.93) for a total of $ 527.43

Another agreed rate. Please explain below.

Please note that if we don't have a minimum enrollment of children the week before the program starts we will cancel the program and give you a full refund. *Please choose only one discount per child.

Can we take photos of your child and post them? *

Yes

Reason for another agreed rate *

How did you hear from us? Thanks for sharing! *

Which payment method are you using? *

I pay with Venmo @Creative_Nature_NYC

I pay with Zelle

Many thanks for sharing with us all of this information! Please note that in addition to filling up this form in order to be fully registered you need to do 2 things:

1) Make the payment with Venmo @Creative_Nature_NYC or Zelle

2) Download our waiver https://www.creativenaturenyc.org/_files/ugd/2ff39a_c037f0f16caf4513a727e4f895e5e6f6.pdf , sign it and email it back to us at info@creativenaturenyc.org

We look forward to co-creating with your child at the park!!

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