Mount Pisgah Arboretum · Arboretum Summer Club Registration 2024

Are you a Mount Pisgah Arboretum Member?

*

All Mount Pisgah Arboretum members with a Family membership or higher get a discount of one free class per child! If you would like to learn more about additional membership benefits, please select the ‘No, but I would like to become a member!’ option below.

Yes

No

No, but I would like to become a member!

Membership Details

In addition to a discount on our education programs and supporting Mount Pisgah Arboretum, memberships come with some great perks!

One (or two for Supporting and Sustaining members) free annual Lane County Parks parking pass – good for all 69 parks!
Free claimable tickets to the spring Wildflower & Music Festival and the fall Mushroom Festival.
Free admission to the Arboretum's guided nature walks and discounts on our educational workshops.
A subscription to our newsletter - Tree Time.
Free admission and/or additional benefits at over 320 gardens through American Horticultural Society's Reciprocal Admissions Program.

All memberships are good for one year and the membership benefits for all of the levels included on this form apply to all members of a household. Once we receive your membership submission we will send your Lane County Parks parking pass, Arboretum membership card, and donation acknowledgement through the mail in the next 5-7 business days.

We have an additional Evergreen membership option that allows you to make monthly donations of $10 or more for the same benefits as a Family membership. If you would like to become an Evergreen member, please click here to go to our personal membership page where you can find our Evergreen form. Once you have signed up there, you can navigate back to this form and fill it out as a member.

Membership Levels

*

$75 - Family

$100 - Supporting

$250 - Sustaining

Member Discount! Members receive one free class per program participant

*

-$25 - Free class for one child

Instructions: Select your day(s) and please take note that each class is taught twice. Please only sign up for one class per week. One Registration per child.

Tuesday June 25th: "Birds of a Feather"	Quantity
$25

Wednesday June 26th: "Birds of a Feather"	Quantity
$25

Tuesday July 2nd: "Creepy Crawlies"	Quantity
$25

Wednesday July 3rd: "Creepy Crawlies"	Quantity
$25

Tuesday July 9th: "Hike It"	Quantity
$25

Wednesday July 10th: "Hike It"	Quantity
$25

Tuesday July 16th: "Run River Run"	Quantity
$25

Wednesday July 17th: "Run River Run"	Quantity
$25

Tuesday July 23rd: “Mount Pisgah Olympics”	Quantity
$25

Wednesday July 24th: “Mount Pisgah Olympics”	Quantity
$25

Tuesday July 30th: “Survival Skills”	Quantity
$25

Wednesday July 31st: “Survival Skills”	Quantity
$25

Tuesday August 6th: ”Boats Afloat”	Quantity
$25

Wednesday August 7th: ”Boats Afloat”	Quantity
$25

Tuesday August 13th: ”Scales & Tails”:	Quantity
$25

Wednesday August 14th: ”Scales & Tails”:	Quantity
$25

Tuesday August 20th: “Brilliant Biomimicry”	Quantity
$25

Wednesday August 21st: “Brilliant Biomimicry”	Quantity
$25

Program Participant's Information

*If you have additional children: return to the main page and fill out an additional form for a new participant.*

Child's Name

*

First Name

Last Name

Age and Grade

*

Child's Gender

Girl

Boy

Non-Binary/Other

What are your child's pronouns?

Any Allergies or Medical Conditions?

Is there anything we should know about your child that will help us better support them during this program?

*

This could be behavioral challenges, triggers, fears, etc.

Primary Parent/Guardian Contact Information

Relationship to Participant

Please use this field if you would like to explain your relationship to the program participant.

Name

*

First Name

Last Name

Email

*

Verify Email

*

Phone

*

Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Is there a second parent/guardian to list?

*

Is the second parent/guardian your spouse/partner?

*

Our reason for asking is so that we don't link you as spouses/partners in our records when it would not be appropriate to do so.

Yes, we are spouses/partners.

No, we are not spouses/partners.

Secondary Parent/Guardian Contact Information

Relationship to Participant

Please use this field if you would like to explain their relationship to the program participant.

Name

*

First Name

Last Name

Email

*

Verify Email

*

Phone

*

Does this parent/guardian live at a different address than yourself?

*

Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Other Important Adults

Names of anyone else allowed to do pick up:

Emergency Contact in the event that no parent/guardian can be reached:

*

Please provide a name and phone number.

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

*

Date

*

(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?

*

Arboretum Summer Club

June 25th - August 21st

Drop-off- 10:00am Pick up- 1:00pm

Kids Ages 5-11 years

Please note - each subject is taught twice so only register for a Tuesday or Wednesday slot, not both.

$25 per class, Members recieve one free class per program participant!

Weekly Themes can be found here

Instructions: Select your day(s) and please take note that each class is taught twice. Please only sign up for one class per week. One Registration per child.

Program Participant's Information

Primary Parent/Guardian Contact Information

Secondary Parent/Guardian Contact Information

Other Important Adults