Wufoo

Garden Day Camp Registration Form

Complete this form to register your child for a 2008 Ferry Beach Ecology School Garden Day Camp

Child's first name *
Child's Last Name: *
Gender *
What grade will he/ she enter in Fall 2008? *
Child's Date of Birth * / MM / DD YYYY
Parent/Guardian First Name: *
Parent/Guardian Last Name: *
Relationship to Child: *
Address *

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Your Daytime Phone Number: * - (###) - ### ####
Your Cell Phone: * - (###) - ### ####
Your Email: *
Preferred Method of Contact: Phone Mail Email
Tell us how we should communicate with you
Please Enroll My Child In the Following Sessions: * Summer Sprouts: June 30-July 3, $70 (for campers entering 1st-2nd grade Dirt Detectives: July 7-11, $88 (for campers entering 3rd-4th grade) Garden Ecologists: July 14-18, $88 (for campers entering 5th-6th grade)
Choose from one of the following sessions - Noting the grade levels appropriate for each.
Do Not Fill This Out