Wasatch Nature School 2021-22 VINEYARD Registration and Release Forms
* Required
Email address
*
Your email
Parent/Guardian #1 First Name
*
Your answer
Parent/Guardian #1 Last Name
*
Your answer
Today's Date
MM
/
DD
/
YYYY
Parent/Guardian #1 Phone Number
*
Your answer
Would Parent/Guardian #1 like to be contacted regarding volunteer opportunities?
*
Yes, after-hours events
Yes, in-class events and parties
Project-based opportunities (t-shirt distribution, cutting projects, etc.)
No thank you
Required
Parent/Guardian #2 Email Address
Your answer
Parent/Guardian #2 First Name
Your answer
Parent/Guardian #2 Last Name
Your answer
Parent/Guardian #2 Phone Number
Your answer
Would Parent/Guardian #2 like to be contacted regarding volunteer opportunities?
Yes, after-hours events
Yes, in-class events and parties
Project-based opportunities (t-shirt distribution, cutting projects, etc.)
No thank you
Venmo name we should expect to receive payments from
*
Your answer
Listed Parent/Guardian Marital Status
Married/Cohabitating
Divorced/Separated
Single Parent
Other:
Clear selection
Child's primary home address
*
Your answer
How did you hear about us?
*
I am a returning student
Yard sign
Instagram
Facebook
Booth or event
Website or search engine
Friend or teacher - Please list name in 'other'
Summer Camp
Other:
Would you be interested in learning more about work opportunities with Wasatch Nature School? We are always in need of reliable substitute teachers! Lesson plans will be provided in advance!
*
Yes
No
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