Pratt's After School Explore Registration
Welcome to our After School Explore program! Please complete this form for each child that you wish to register.
Child Name (first & last) *
Your answer
Age *
Which session are you registering for? (More than one can be selected and this can be changed in the future, if needed) *
On what date will this child start After School Explore? *
How will they arrive? (This can change, just let us know!) *
How often should we expect them? (This can also change as necessary.) *
Primary Contact Parent/Guardian Name *
Your answer
Primary Contact Parent/Guardian Email *
Your answer
Primary Contact Parent/Guardian Phone Number *
Your answer
Have you completed a full online registration with current emergency contacts for a previous program, registered online for Pratt Summer Camp, a School Vacation Day, or our Homeschool Program within the last year? *
Never submit passwords through Google Forms.
This form was created inside of Pratt Nature Center. Report Abuse