Morningside Explorers Workshop Registration Form

Morningside Explorers Registration Form

Thank you for your interest in the Morningside Explorers program! Sign up here for our upcoming workshop on June 25 from 3:30pm – 5:00pm.
Name*

First NameLast Name
Date of birth*

MonthDayYear
Date
Parent/Guardian Name *

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name of Caregiver Attending Sessions with Child*

First NameLast Name
Relationship to Student
Caregiver in Attendance's Phone Number*
Please enter a valid phone number.
Is there anything you would like us to know about your child before the program begins? Are there any accommodations we could provide to support your child's participation in Morningside Explorers?
How did you hear about us?

Word of MouthWebsiteSocial MediaFlyerOther
Terms and Conditions:

By submitting this form, I acknowledge that participation in a Morningside Explorers workshop involves physical activity in a public outdoor park, and I hereby release Barnard College and its Community Engagement staff as well as the Friends of Morningside Park from any liability for injuries or accidents that may occur during workshops.

I also acknowledge that by participating in the Activity, I consent for my minor child to be photographed or otherwise recorded by Barnard College Community Engagement program staff and Friends of Morningside Park staff for news, promotional purposes, or other program uses, including but not limited to publication of such recordings on their websites and social media.
Signature*

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Date signed

MonthDayYear
Date
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Morningside Explorers Registration Form