Request edit access
Fall Dirt Club Registration
Sign-up for Dirt Club (1st-4th grade).
Cost: $72 for 6 week session. Scholarship forms available at front office or on our website. Payments can be cash or check. Please make checks payable to The Garden Project of Southwest Colorado.
Phone: (970) 259-3123

Registration closes September 14th.
PAYMENTS DUE on or before the first day of Dirt Club.

Email address *
School Name: *
Student Name: (First and Last) *
Your answer
Grade: *
Teacher: *
Your answer
Parent/ Guardian Name(s): *
Your answer
Contact Phone Number: *
Your answer
Emergency Contact: (Spouse, grandparent, neighbor, etc.) *
Your answer
Email Address: *
Your answer
I am able to receive group text messages regarding pick up changes due to the weather. *Please look for indoor pick up information due to weather.* *
I am interested in volunteering for after-school garden programs. *
I would like to be added to The Garden Project monthly newsletter list. *
Photo Release: I will allow the Garden Project of Southwest Colorado to use photos of my child for promotional materials. *
Does your child have any allergies (food, bees, etc) that we should know about? *
Your answer
Does your child have any dietary restrictions (vegan, vegetarian, etc) that we should know about? *
Your answer
Please indicate where your child will go after the program: *
If child is going home with another parent or guardian, write name here (if child is not getting picked up, write N/A) *
Your answer
**Please note: Registration is not complete until payment has been received. Thanks!
Never submit passwords through Google Forms.
This form was created inside of The Garden Project of Southwest Colorado. Report Abuse - Terms of Service