September Discovery Days Registration Form

Discovery Days Registration Form

Together with caregiver
September Class Sign-Up

Dates: 09/23/2026

Time - 9:30 AM - 11:30 AM (open house style- you can arrive and leave at your convenience)

Our Theme is: Fun at the Fair!

Cost: Free

For children ages 2-6

Caregiver/Guardians MUST be present with child in order for child to attend.
Please enter how many children will be attending on the corresponding date.
Parent/Guardian Information

For minors (below 18 years of age)
Parent Contact Information
Parent Name

First NameLast Name
Phone Number
Format: (000) 000-0000.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Relationship
Parent/guardian Signature
Date Signed

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
The relevant links will be provided in the autoresponder email after you successfully registered.

If you have any questions, please email or call us using the details below:

Pine Center for the Arts
pinecenterforthearts@gmail.com

This activity is free thanks to a grant awarded to Pine Center for the Arts from the Banyan Fund.
Should be Empty: