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Jr.Explorers Spring 2023

2023 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 2023?

Yes

Permission and Waiver Forms / Policies and Procedures

If this is your child's first program at Fern Hollow in 2023, you need to fill out one Spring 2023 Waiver and Permission Form AND one Spring 2023 Policies and Procedures Form per child. Please click on the links below. You may complete the forms after you submit your registration.

Spring 2023 Waiver and Permission Form

Spring 2023 Policies and Procedures

Date of Birth *

Child's Age *

Child's current grade (2022-2023 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 *

Email *

Contact email

Verify Email *

Date *

(mm/dd/yyyy)

Members Only Registration

Jr.Explorers Spring 2023 - Member Fee *	Quantity
$240 - Jr.Explorers Spring 2023 - Member Fee

Public Registration

Jr.Explorers Spring 2023 - Public Fee *	Quantity
$280 - Jr.Explorers Spring 2023 - Public Fee