After School Program Registration

Participant Name *

First

Last

Email *

Mobile Number *

Which cohort(s) are you interested in joining? *

• Fabulous Fungi - Tuesdays from 4:30-6 p.m. (Nov. 2, 9, 16)
• Wild Tulip - Tuesdays from 4:30-6 p.m. (March 8, 15, 22 + April 5, 12, 26)
• Mighty Oak - Tuesdays from 4:30-6 p.m. (May 3, 10, 17, 31 + June 7, 14)

Parent/Guardian Name *

First

Last

Email *

Mobile Number *

• I would like to receive email updates regarding future cohorts

Comments or Questions

GDPR Agreement *

• I consent to having this website store my submitted information so they can respond to my inquiry.

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