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Creek Walk at Walker Park - Watermark - Oct 20, 2023

2023/24 REGISTRATION FORM

Please complete one form per child.

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

Thank You!

Membership status *

Are you a Fern Hollow member?

Yes, I am a member

No, I am not a member

Not a member? Join today!

CLICK TO PURCHASE A MEMBERSHIP

Member Name *

First Name

Last Name

Child's participation history *

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

Yes

Permission and Waiver Forms / Policies and Procedures

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

Fall 2023 Waiver and Permission Form

Fall 2023 Policies and Procedures

Participant Information

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

Child's Full Name *

First Name

Last Name

Child's Age *

Child's Birthday *

(mm/dd/yyyy)

Current grade (2022-2023 school year) *

Emergency Contact Name *

Please provide the full name of who to contact in case of an emergency.

Emergency Contact phone number *

Please provide the phone number of your emergency contact

Electronic Signature

By writing my name below, I certify that I have read the above information. My signature also certifies my understanding of and agreement with the above policies. The information provided is correct to the best of my knowledge.

First & Last Name *

First Name

Last Name

Contact Phone *

Email *

Contact email

Verify Email *

Date *

(mm/dd/yyyy)

PAYMENT

Creek Walk at Walker Park - Watermark Classical Academy - Registration Fee.

Creek Walk at Walker Park - Watermark - Oct 20, 2023 - PUBLIC FEE *	Quantity
$25 - Public fee
$123 - One (1) Year Family Membership ($100) + Creek Walk at Walker Park ($23 member fee)

Creek Walk at Walker Park - Watermark - Oct 20, 2023-MEMBER FEE *	Quantity
$23 - Creek Walk at Walker Park - Watermark - Member fee

Would you like to make a donation?

$25 - Thank you!

$10 - Thank you!

$5 - Thank you!