Conservation Kids: Registration

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Register your child (ages 8- 14) for this hands-on, service learning summer program.

Time: 10 am - 2 pm
Location : Hamilton Ecologic Education and Nature Center, 101 Joe Nuxhall Way, Hamilton (Next to Wake Nation in Joyce Park)

Child's Name (please complete this form for each individual child that you have registered). *

Is a sibling(s) attending; if so, what is the siblings name(s)?

Child's Age *

Required

Any special needs we should be aware of? Examples: allergic to nuts or bees, has asthma, etc... *

Do you plan to stay with your child? We are more than happy for you to stay with them, whether you participate or not. It is recommended for kids younger than 10, but not required.

Yes

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Do you plan to have someone other than yourself pick up your child(ren)? If so, what is their name?

Parent/Guardian Name *

Parent/Guardian Email *

Parent/Guardian Phone (for emergencies only) *

Address *

School District (for grant purposes) *

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