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Nature Night Out - December 20th, 2024

2024 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.

Is this your child’s first program with us in 2024? *

Yes

Permission Form

If this is your child's first program at Fern Hollow in 2024, 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 necessary forms

2024 Waiver and Permission Form

2024 Policies and Procedures

Child's Full name *

First Name

Last Name

Child's Date of Birth *

Current grade (2023-2024 school year) *

Electronic Signature

Child's guardian consent

First & Last Name *

First Name

Last Name

Contact Phone *

Email *

Contact email

Verify Email *

Date *

(mm/dd/yyyy)

Are you a Fern Hollow Member? *

Yes, I'm a member

No, I'm not a member

Public Fee - December 20th *	Quantity
$26 - Nature Night Out - Public
$121 - One Year Membership ($100) + Member Fee ($21) Nature Night Out

Member Fee - December 20th *	Quantity
$21 - Nature Night Out - Member