Request edit access
Children's Garden Program Registration
Come join us every other Tuesday 10am-11:30am for a morning of fun and learning at our 6th Street Children's Garden!  Our program is FREE of charge and geared for 2-5 year-olds but siblings are welcome to attend.  159 S. Sixth Street, Newark.
Sign in to Google to save your progress. Learn more
Parent or Guardian's Name *
Child's Name *
Child's Date of Birth *
MM
/
DD
/
YYYY
Address *
Phone Number *
If a child care provider will be bringing your child, please provide us with the name and phone number of the person or organization
Check all sessions you expect to attend *
Required
Please let us know if your child has any allergies
T-Shirt Size (Free with Registered Child) *
Optional Adult T-Shirts $15 Each- Please make payment at your first Children's Garden program
Clear selection
I give my permission for my child to attend the Children's Garden Program this summer at the Sixth Street Garden, 159 S. 6th Street Newark.  I will not hold Together We Grow responsible for any injuries while in attendance whether it's me attending with them or my child care provider.   *
Please type in your electronic signature
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms