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Botany Everyday Program Interest
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Application Basic Info
First Name
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Your answer
Last Name
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Your answer
Primary Phone Number
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Your answer
Email Address
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Your answer
Questions
What is it that you'd love to experience in this program?
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Your answer
Will you be bringing children? If so, what are their ages?
Your answer
If you will be bringing children: Are you comfortable with your child getting muddy and dirty? (please NOTE, your child WILL get dirty and your response to this is important regarding whether they feel okay being involved with the play that happens at Nature Connect)
Your answer
Is there anything else you'd like us to know? Any questions or concerns?
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Your answer
How did you find out about Nature Connect programs?
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Word of Mouth
Facebook
Search Engine
Other:
Where specifically did you find out about Nature Connect? (Please share the name of the person, organization, event, search engine, listserv, etc who referred you, if applicable)
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Your answer
Would it bring you joy to contribute to the Nature Connect Scholarship Fund?
Yes, I'd love to contribute
Yes, but I'd rather not right now
No, thank you
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What is one thing that you are grateful for right now?
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