New Leaf Collaborative Eco Kids Workshop
Registration Form for Workshop

Session 1 Tuesday July 2, Wednesday July 3 and Friday July 5 from 9:30am-1:30pm
Session 2 Tuesday July 10 - Thursday 12 from 9:30am-1:30pm

Contact Tina Wong at 925-202-3802 or tina@newleafcollaborative.org for further questions

Email address *
Child #1 First and Last Name *
Your answer
What elementary school does Child #1 attend? *
Your answer
Child #1 Grade (as of next Fall) *
Child #1 T-shirt Size *
Child #2 First and Last Name
Your answer
What elementary school does Child #2 attend?
Your answer
Child #2 Grade (as of next Fall)
Child #2 T-shirt Size
Parent First and Last Name *
Your answer
Session (check one): 󠄰󠄀 *
Required
If space is available my child would like to attend both sessions: *
Required
Parent Email *
Your answer
Parent Phone Number *
Your answer
Parent Address *
Your answer
Emergency Contact Name & Phone Number *
Your answer
Please list any food allergies *
Your answer
Workshop fee is $100 per child if payment received on or before June 1. Workshop fee is $130 per child if received after June 1. *
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