Roots Plan - Registration Form
Register to participate in our Roots Plan for full year (Sept-June) guaranteed enrollment with priority pricing. Register once for the whole year! Program fees are split into equal monthly payments for consistency.
Participant's Full Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Parent/Guardian Full Name
*
First Name
Last Name
Parent/Guardian Email Address
*
example@example.com
Parent/Guardian Phone Number
*
-
Area Code
Phone Number
Does the participant have any allergies or medical conditions we should be aware of?
Program Choices - please select all intended to attend
*
Monday (Foodies)
Tuesday (Art)
Wednesday (Bushcraft)
Thursday (Birds + Words)
Friday (Wee Ones - ages 3-6 only)
I agree to the Root Plan Annual Commitment Policy
Signature
*
Register
Register
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