Shaull Garden Club Registration Form
Please complete the fields below to apply for the Shaull Garden Club. A lottery will be used to select 15 participants from 4th and 5th grade. We can't wait to see you in the Shaull Garden! 
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Email *
Student First Name *
Student Last name  *
Parent or Guardian First Name *
Parent or Guardian Last Name *
Parent Cell Phone Number *
Parent Email Address *
Student's Homeroom Teacher & Grade *
Is your student able to Attend All 4 Sessions, 5/2, 5/9, 5/16, and 5/23?  *
I (parent/guardian) must volunteer to assist with at least one session identified below. I understand that I must have clearances on file with the school.
*
Required
I understand that I will be responsible for picking up my child by 5:30 pm at Shaull Elementary School.  *
I give permission for my child's photo to be taken and used on social media to promote the garden's success. *
The club coordinator uses the BAND app to centralize all communications. Please confirm that you are willing to download this communication app for the duration of the club.  *
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