Mailing List Registration Form
Stay tuned for updates from Rugged Research Metro Detroit
Parent/Guardian Details:
Full Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
Format: (000) 000-0000.
Age(s) of children in home:
*
What type of program(s) are you most interested in hearing more about: (select all that apply)
Summer Camp (ages 6-11 years)
Nature Days (ages 6-11 years)
Afterschool Club (ages 6-11 years)
In-School Field Trips (grades K-5)
Little Rangers (ages 3-6 years)
How did you hear about us?
*
Please Select
Facebook
Instagram
Website
Google
Summer Camp Flyer
A friend or relative
Other
Please Specify
*
Has your child attended a Rugged Research program in the past?
Yes
No
If so, which program did they attend?
(EX: Summer Camp, In School Field Trip, etc.)
Would you be willing to recommend us?
Yes
No
Maybe
Submit
Should be Empty: