Mount Pisgah Arboretum · Arboretum Exploration

Are you a Mount Pisgah Arboretum Member?

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Members receive a discount of one free session!

Yes, I am a member.

No, I am not a member.

Would you like to sign up to become a Member?

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Mount Pisgah Arboretum Members get in for free to our walks, the Mushroom Festival and the Wildflower Festival. They also receive a Lane County Parking Pass, a discount on workshops and kids programs and reciprocal admission to many Botanical Gardens around the US.

Yes

No

Membership Sign Up

Membership Levels and Amount

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$60 - Family Membership benefits apply to all persons residing in the same household, i.e. list the address as their permanent residence for tax purposes.

$100 - Supporting Membership benefits apply to all persons residing in the same household, i.e. list the address as their permanent residence for tax purposes.

$250 - Sustaining Membership benefits apply to all persons residing in the same household, i.e. list the address as their permanent residence for tax purposes.

$1,000 - Lifetime Membership. Anyone may choose this level. Membership benefits apply to a SINGLE person for the entirety of their life and are non-transferable.

Fall Session Sign Up

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$105 - Member Price - 8 sessions

Fall Session Sign Up

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$120 - Non Member Price

Program Participant's Information

Child's Name

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First Name

Last Name

Age and Grade

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Child's Gender

Girl

Boy

Non-binary/Other

What are your child's preferred pronouns?

Any Allergies or Medical Conditions?

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Is there anything (behavioral challenges, triggers, fears) we should know about your child that will help us better support them during this program?

I need to fill out information about more than one child.

If you're signing up more than one child, bring up information sections for each with this drop down.

Second Child

Child's Name

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First Name

Last Name

Age and Grade

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Child's Gender

Girl

Boy

Non-binary/Other

What are your child's preferred pronouns?

Any Allergies or Medical Conditions?

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Is there anything (behavioral challenges, triggers, fears) we should know about your child that will help us better support them during this program?

Third Child

Child's Name

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First Name

Last Name

Age and Grade

*

Child's Gender

Girl

Boy

Non-binary/Other

What are your child's preferred pronouns?

Any Allergies or Medical Conditions?

*

Is there anything (behavioral challenges, triggers, fears) we should know about your child that will help us better support them during this program?

Fourth Child

Child's Name

*

First Name

Last Name

Age and Grade

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Child's Gender

Girl

Boy

Non-binary/Other

What are your child's preferred pronouns?

Any Allergies or Medical Conditions?

*

Is there anything (behavioral challenges, triggers, fears) we should know about your child that will help us better support them during this program?

Primary Parent/Guardian Contact Information

Relationship to Participant/s

Optional- Use this space to explain your relationship to the program participant if desired.

Name

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First Name

Last Name

Email

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Verify Email

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Phone

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Address

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Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Secondary Parent/Guardian's Information

Is there a second guardian/parent to list?

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Are the two guardians/parents spouses or partners?

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We ask so you won't accidentally be linked as spouses/partners in our records if you aren't!

Yes, we are spouses/partners.

No, we are not spouses/partners.

Relationship to Participant/s

Optional- Use this space to explain their relationship to the program participant if desired.

Name

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First Name

Last Name

Email

Verify Email

Phone

Name

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First Name

Last Name

Email

Verify Email

Phone

Other Important Adults

Names of anyone else allowed to do pick up:

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Emergency Contact in the event that no parent can be reached

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Mount Pisgah Arboretum Program Waiver

By signing below, I certify that I am the parent or legal guardian of the child listed above. In consideration of the right to participate in this activity, I release any and all claims for damages and losses suffered by me or my minor child/ward as a result of said participation against Mount Pisgah Arboretum and any officers or agents thereof. I further understand that there are certain risks inherent in this activity. I hereby agree to assume those risks on behalf of my minor child/ward and to hold harmless Mount Pisgah Arboretum and its agents. In the case of an injury or medical emergency, I give consent for Mount Pisgah Arboretum to provide or arrange for all necessary and appropriate medical/dental treatment as prescribed by qualified medical personnel. I have provided Mount Pisgah Arboretum with all relevant and necessary information about my child/ward’s medical and/or other special needs. I have read and understand the above.

Type your name below to sign the waiver

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Date

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(mm/dd/yyyy)

We love to have pictures of our programs for our website and social media. Do we have your permission to take pictures of your child during this program?

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Arboretum Exploration

For Kids Ages 5-11

Tuesday afternoons

Rolling Drop-off- 3:00-3:15pm Pick up- 5:15pm

October 4 to November 29 (no class November 1)

$15 per class, Members get one class free

Membership Sign Up

Second Child

Third Child

Fourth Child

Primary Parent/Guardian Contact Information

Other Important Adults