Family Nature Play Class
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Email *
You are registering for the Family Nature Play Class summer session (choose 1-2 options): *
Required
Child Information
How many children will be with you? *
First Names *
Age range *
Parent / Guardian informations
First Name *
Last Name *
Child's relationship *
Address *
Phone number *
Photo release waiver
Do you authorize us to share pictures or videos of your child on social media (Facebook /Instagram) and/or prints to promote our program? *
Barnacles and Bees is an all outdoor, rain or shine program. The forest/park is our classroom and there may be no indoor facilities. Caregivers are responsible for their child at all time and must remain on site during the event. *
Date *
MM
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YYYY
Signature *
A copy of your responses will be emailed to the address you provided.
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