White Lotus Farms: Youth Summer Series Registration
This is the registration form for the White Lotus Farms Youth Summer Series!
It is important that you provide a parent/guardian email that you will check, as all pre-series information will be sent to this email.
After submission of this form, you will receive a confirmation email that has a ton of useful information about the White Lotus Youth Summer Series (YSS).
Sign in to Google to save your progress. Learn more
Participants Full Name *
Participant Address *
Participant Age *
Participant Shirt Size *
Does the participant have any food or outdoor allergies that we should be aware of? If so, please list them below. *
Parent/Guardian Name(s) *
Parent/Guardian Email *
Emergency Contact Name (1) *
Emergency Contact Phone Number (1) *
Emergency Contact Name (2)
Emergency Contact Phone Number (2)
Which Summer Series Sessions is the participant planning to attend? (Ex. If the participant will be out of town one week, don't mark that box) *
Is there anyone else that is allowed to pick up your child from the White Lotus Summer Series? If so, please list all names below.
Would the participant need transportation from Dexter to White Lotus Farms? *
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy