Summer Day Adventures Registration Form
FEES: $5.50 per student, no charge for adults. Self-guided hikes $3.50 per person. $25 deposit due to hold date and time.
Organization Name: *
Your answer
Contact Name (First & Last) *
Your answer
Contact Email: *
Your answer
Leader's Name (First & Last):
This should be the name of the leader who will be here on the day of.
Your answer
Leader's Email
Your answer
Street Address: *
Your answer
City: *
Your answer
Zip Code: *
Your answer
Phone: *
Your answer
Program 1: *
(Programs are typically 90 minutes in length and occur primarily outdoors)
Required
Age of Children for Program 1: *
Required
Estimated # of Children for Program 1: *
Minimum 10 children per program
Your answer
Program 2:
(Programs are typically 90 minutes in length and occur primarily outdoors)
Age of Children for Program 2:
Estimated # of Children for Program 2:
Minimum 10 children per program
Your answer
Program 3:
(Programs are typically 90 minutes in length and occur primarily outdoors)
Age of Children for Program 3:
Estimated # of Children for Program 3:
Minimum 10 children per program
Your answer
Special Notes/Requests:
If you need to request additional programs, please make a note here of which program, age of children and estimated number of children.
Your answer
Preferred Date: *
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YYYY
2nd Choice Date:
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YYYY
Preferred Start Time (earliest start time is 9:30) *
Time
:
Days/Dates you are NOT available:
Your answer
Estimated Total # of Children: *
$5.25 per child, no fee charged for adults (Self-Guided Hikes $3.25 per person)
Your answer
Estimated Total # of Adults: *
1:10 ratio required
Your answer
Do you plan to have lunch at Riveredge (outdoor space only)? *
*Please note there is an additional $15 disposal fee if you have lunch at Riveredge.
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This form was created inside of Riveredge Nature Center.