KIC Registration- Gardening for Good
Full Circle Healing and Kids Impact Community are please to partner together this summer for a community garden, located on 32nd Street and St. Paul Ave. Join us for our community planting day on June 9th from 2-5pm! Throughout the summer, families will be able to sign up to Garden on Tuesday mornings 9:00-11:00 and Thursday afternoons 1:00-3:00. Tuesdays' harvest will go to the neighbors of the garden and Thursdays' harvest will go to RWFP.

Please complete the below registration.
The information provided will not be shared with any third party organizations.

Email address *
Participant Information
Tell us about the child or children attending the event.
Name(s) and Age(s) of Participating Children *
Your answer
Parent/Guardian Information
Who will be accompanying the above child(ren) to the mission.
Parent/Guardian Name *
Your answer
Phone Number *
Your answer
Address *
Your answer
Garden Schedule
Please choose 3 weeks you are available. Once we have all the families registered, you will be contacted with your assigned week. based on your availability.
Choose 3 options (you will only be required to help one week)
Would you like to be added to our newsletter? *
Waiver & Photo Release
I, the undersigned and/or parent/guardian of the individual(s) named above, do hereby agree to indemnify and hold harmless Toddlers and Kids on a Mission, inc. and its agent from and against any and all liability resulting from participation in the missions listed below. I understand that the mission (s) in which I am enrolling, like all activity programs, has some inherent risk, for which I agree to assume the liability. Furthermore, the individuals named herein are in good health appropriate for the activities in which they will be participating.

For TOAM promotion purposes, photographs may be taken of participants. If you do not wish to have your photo taken, please notify the photographer or instructor. No names or any other identifying information will be shared if the photograph is used, unless requested.

Name *
Your answer
Emergency Contact
Name and phone number for Emergency Contact
Person not attending event
Your answer
Comments or Questions
Your answer
Thank You l
A copy of your responses will be emailed to the address you provided.
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