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.
Website: TheGardenProjectSWColorado.org
Phone: (970) 259-3123
Email:
matt@thegardenprojectswcolorado.org
Registration closes September 14th.
PAYMENTS DUE on or before the first day of Dirt Club.
* Required
Email address
*
Your email
School Name:
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Needham Elementary School (Mondays, September 17th through October 22nd)
Riverview Elementary School (Tuesdays, September 18th through October 23rd)
Park Elementary School (Wednesdays, September 19th through October 24th)
Student Name: (First and Last)
*
Your answer
Grade:
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1st Grade
2nd Grade
3rd Grade
4th Grade
Teacher:
*
Your answer
Parent/ Guardian Name(s):
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Your answer
Contact Phone Number:
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Your answer
Emergency Contact: (Spouse, grandparent, neighbor, etc.)
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Your answer
Email Address:
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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.*
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Yes
No
Required
I am interested in volunteering for after-school garden programs.
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Yes
No
I would like to be added to The Garden Project monthly newsletter list.
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Yes
No
Photo Release: I will allow the Garden Project of Southwest Colorado to use photos of my child for promotional materials.
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Yes
No
Does your child have any allergies (food, bees, etc) that we should know about?
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Your answer
Does your child have any dietary restrictions (vegan, vegetarian, etc) that we should know about?
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Your answer
Please indicate where your child will go after the program:
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My child will go to Kid's Camp.
I give my child permission to walk home.
Parent/Guardian will pick up at the garden/ indoor space (in case of adverse weather).
My child will go home with another parent or guardian.
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!
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