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Little Explorers Fall 2024, WEDNESDAY at Fern Hollow

2024 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 Nature Center 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

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 participation history

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

Yes

Permission and Waiver Forms / Policies and Procedures

Permission and Waiver Forms / Policies and Procedures
If this is your child's first program at Fern Hollow in 2024, you need to fill out one 2024 Waiver and Permission Form AND one 2024 Policies and Procedures Form per child. Please click on the links below. You may complete the forms after you submit your registration.

2024 Waiver and Permission Form

2024 Policies and Procedures

Date of Birth

Child's Age

Child's current grade (2024 -2025 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 for your emergency contact

Electronic Signature

First & Last Name

First Name

Last Name

Contact Phone

Contact email

Verify Email

Date

(mm/dd/yyyy)

Members Only Registration

Little Explorers Fall 2024, WEDNESDAY - Member Fee *	Quantity
$315 - Little Explorers Fall 2024, WEDNESDAY - Member Fee

Public Registration

Little Explorers Fall 2024 WEDNESDAY - Public Fee *	Quantity
$365 - Little Explorers Fall 2024, WEDNESDAY - Public Fee

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