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Winter Pop-Ups, Wintery Critters - February 5, 2022

2022 REGISTRATION FORM

Please complete one form per program date.

***Please provide us an email address that you routinely check - it is what we will use for program communication.***

Thank You!

Participant Information

Please fill out this form for each of your children if you have multiple participating in programs.

Child's participation history

Is this your child’s first program with us in 2022?

Yes

Permission Form

If this is your child's first program at Fern Hollow in 2022, you need to fill out one Permission Form and Medical Waiver per child. Please click on the link below. You may complete the form after you submit your registration.

Click on the link to fill out the Winter 2022 Permission Form

Winter 2022 Permission Form

Child's Full name

First Name

Last Name

Child's Date of Birth

Current grade (2021-2022 school year)

Electronic Signature

Child's guardian consent

First & Last Name

First Name

Last Name

Contact Phone

Contact email

Verify Email

Date

(mm/dd/yyyy)

Choose your payment fee

Please choose a payment fee based on your membership status

Wintery Critters - Registration Fee *	Quantity
$20 - Wintery Critters - Public Fee
$15 - Wintery Critterst - Member Fee
$115 - One Year Membership ($100) + Member Fee ($15)

Add 3% to my total amount to help cover the payment processing fees