Nature School Registration Form

Nature School Registration Form
Parent(s) Name(s)*
Email Address*
Student's Name*
Student's Gender*

MaleFemale
Student's Birthday*
Contact Number*
Do you receive Text at this number?*

YesNo
Address*
City*
Zip Code*
If payment is not received by the 10th day

of each month,

an additional fee of $10 will be assessed
Please click yes if you WILL give permission to have photographs of your child taken*

YesNo
We occasionally take pictures

of the kids in action with the materials

or doing other activities for our website and/or blog.

We hope to use these to keep parents

up to date on the happenings at school.
Please let us know which cohort you are interested in.... Valley or Coastal!
How did you find us?*

FlyerGoogle/Other search engineFacebookFriendOther
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