Sing, Chirp, Explore Registration 📋

Sing, Chirp, Explore Registration 📋

Please fill out the registration details below.
This program is not recommended for anyone with peanut allergies. Program titles are subject to change. Parents/Caregivers will receive advanced notice.
Receive a free copy of Anne Stabb's (WBU staff and instructor) book, "Sing, Chirp, Explore: A Kid's Guide to Backyard Birding." when all 12 sessions are paid in full before the program begins. ($16.00 value)
Child's Full Name*

First NameLast Name
Age
Date of Birth

MonthDayYear
Date
Sibling's Full Name (if applicable)

First NameLast Name
Sibling's Age
Sibling's Date of Birth

MonthDayYear
Date
Session Selection
Parent/Guardian Name

First NameLast Name
Relationship to Child
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Best Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address*
example@example.com
Emergency Contact Name

First NameLast Name
Relationship to Child
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Alternate Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Health and Allergy Information
YesNo
YesNo
Please describe any allergies or medical conditions we should know about.
Single Sessions - $20.00 per sessionFull Summer for One Child- $216.00 ( paid in full all 12 sessions + signed book, save $24.00)Full Summer Child + Each Sibling Rate - $194 per child (One signed book copy per family)
Activity Selection
Simply check off the session date(s) you'd like to attend and submit the form. There is no payment required at this time. Once we receive your registration, we will send you an invoice by email within 24 hours showing your total amount due. Payment can be made by phone or in store at Wild Birds Unlimited Glen Mills. Spots are limited to 8 children per session and are not held until payment is received.
June 15 - Make a bird feeder (with oranges)June 16 - Hummingbird ActivityJune 18 - Learn About Native Plants (planting experience)June 19 - Bird Bingo for Kids (prizes to be awarded)
July 20 - All About WoodpeckersJuly 21 - Let's Learn about RaptorsJuly 23 - Those Silly SquirrelsJuly 24 - Bird Bingo for Kids (prizes will be awarded)
August 10 - Chick-a Dee-Dee-DeeAugust 11 - What Color is a Bluebird? :)August 13 - Let's Learn about Fall MigrationAugust 14 - Bird Bingo for Kids (prizes will be awarded)
Total Due for Child #1
Total Due for Child #2
Family Total
Yes, I agree.
Consent and Signature

I give permission for my child(ren) to participate in Sing, Chirp, Explore and confirm all information provided is accurate.
Yes, I give permissionNo, I do not give permission
Signature

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Sing, Chirp, Explore Registration 📋

This program is not recommended for anyone with peanut allergies. Program titles are subject to change. Parents/Caregivers will receive advanced notice.

Session Selection

Health and Allergy Information

Activity Selection

Consent and Signature