Little Seedlings Registration-Hidden Valley
Hello! Please complete this registration form to enroll your child(ren) in Little Seedlings for the month of October (9-noon) at the Hidden Valley Nature Center (11401 Arlington Ave, Riverside, CA 92505). Please answer each question completely, incomplete forms will not be processed. Must complete a Credit Card Authorization form to complete this registration(https://d3n8a8pro7vhmx.cloudfront.net/iewaterkeeperorg/pages/13/attachments/original/1528748719/IEWKcreditcardauth.pdf?1528748719). For questions, please contact Korina@iewaterkeeper.org.
Contact Name *
Contact Info: Primary phone number *
Contact Info: Email address *
Contact Info: Home address *
Emergency Contact/Individuals authorized to pick up participants: Please include name, phone number, and relationship of individuals in case of an emergency *
Name and birth date of each participant (must be between 3-5 years old, must be potty trained) *
Preferred Class Schedule--Please note, class options are dependent on total enrollment numbers. One-day option: $100, Two-day: $160, Three -day: $200 *
Please upload your Credit Card Authorization Form here or email the form to korina@iewaterkeeper.org.
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