Fall Homeschool Mighty Acorns Program- WAITLIST!!!!!!

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REGISTER TO BE ON THE WAITLIST!!!!

Hello!

We are so excited bring this program to our local homeschool families! Make sure to complete this form in it's entirety. Parents and Guardians, we ask that you complete this form for YOUR children only. THIS PROGRAM IS CURRENTLY FULL AND HAS A WAITLIST.

Program Information:

Date: 11/4

Time: 10am - 12pm

Location: Three Oaks ( will provide specifics in email confirmation)

Description:

Join us as we learn about different birds and ways they've adapted in their environment. This two hour program will have students playing an educational game, exploring the nature, and doing a bit of stewardship work on the preserve.

The curriculum being taught is at a 3rd grade level, however, children of all ages are invited to attend.

Please note that the information in this document will only be shared with background check approved staff and volunteers.

Questions? Reach out to Grace at gball@chikamingopenlands.

Parent Name *

Parent email *

Number of children you are registering *

If more than 10, please email Grace.

Names and ages of the children you are registering

Example: Jane Doe - 8

Are there any allergies / health conditions we should be aware of?

(You are not required to answer this question, however, it will help our staff stay informed of any additional needs a child may have at the program.)

Example:

Bee sting allergy

Asthma

Homeschool Mighty Acorns Requirements:

Please read below and select the appropriate response.

1) Parents/guardians are required to stay at the preserve throughout the duration of the program.

2) It is the responsibility of the parent/guardian to make sure their child has any medical device with them during the program.

3) I understand that COL staff / volunteers cannot legally transport my child in their personal vehicle under any circumstance.

4) Chikaming Open Lands reserves the right to ask any individual to leave the program if they are disrespectful towards staff/volunteers/ participants or behaving in an unsafe way.

I have read and agree with the requirements for my child(s) to participate in this program.

I have read and disagree with the requirements for my child(s) to participate in this program.

Emergency Contact Information

Name:

Relation to child:

Phone number:

Photo Release

I give Chikaming Open Lands permission to use pictures of my child(s)

I do not give Chikaming Open Lands permission to use pictures of my child(s)

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