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Nature & Nurture -Feb 21, 2023

2023 REGISTRATION FORM

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

Thank You!

Register for Nature & Nurture -Feb 21, 2023 under the following

First & Last Name

First Name

Last Name

Contact email

Verify Email

Date

(mm/dd/yyyy)

Are you a Fern Hollow Member?

Yes, I am member

No, I'm not a member

Nature & Nurture -Feb 21, 2023 - Members Fee *	Quantity
$10 - Members

Nature & Nurture -Feb 21, 2023 - Public Fee *	Quantity
$15 - Public

Participant(s) full name(s)

Please enter first and last name(s) for all participants being registered; including age(s) for the children; separated by commas. Example: Ann Smith, James Smith (6mo), Beth Smith (2). Only 1 caregiver and up to 2 children per registration, please.

Would you like to make an additional donation?

$5 - Thank you!

$10 - Thank you!

$20 - Thank you!

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