Nature Connect Registration Form
Join us this Fall for fresh air and art through natural products and paints to embody our brightest best selves to heal ourselves and our community. These sessions will be on Sept. 22, 29 and Oct. 6, 13, 20, 27 with a final Día de los Muertos celebration in early November.

GIRL Project activities will be held outdoors after school on Wednesdays from 2:30-5 pm. We will provide snacks and all necessary materials. Our activities are crafted for 11-14 year olds but GIRL Project alumna are also welcome to attend the sessions. We will have a special artistic creation for a Día de los Muertos altar led by Xochitl Guerrero.
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Student First Name *
Student Last Name *
Student Nickname
Student Date of Birth *
Student Email *
Current Academic School (indicate if homeschooled) *
Primary Parent/Guardian Name *
Primary Parent/Guardian Phone Number *
Primary Parent/Guardian Email *
Additional Emergency Contact Name *
Additional Emergency Contact Phone Number *
Language spoken at home *
Drop off and pick up for Nature Connect will be at the Gazebo at San Antonio Park.
How will your child get to Nature Connect sessions? *
Mailing Address *
Occasionally, GIRL Project mails out packages to participants. Is your mail secure? *
If your mailing address is not secure, is there and alternative that you would prefer?
Student Shirt Size *
Student Shoe Size *
Any allergies (i.e insects, pollen, etc.) or diet restrictions (i.e. vegan, vegetarian, etc.)? *
Safety Information
Parents/Guardians of students will be advised to monitor their child for signs and symptoms of COVID-19. GIRL Project participants should stay home when they are sick, when household members are sick, or when required by a healthcare provider to isolate or quarantine themselves or a member of their household.

Do not come to class if you or anyone in your household has had any of the following symptoms in the last 24 hours:

1. Fever > 100.4 degrees Fahrenheit
2. Cough, usually dry
3. Shortness of breath
4. Sore throat
5. Unusual headache
6. Chills
7. Congestion
8. Muscle and joint pain that are unexplained
9. Nausea or vomiting
10. Loss of sense of smell
11. Diarrhea
12. Pink Eye
CDC guidelines continue to change in response to COVID-19 and the emerging delta variant. We will follow guidelines and continue to adapt to the changing recommendations by the county and the CDC.
With COVID-19 still being prevalent in our community and the delta variant on the rise, we would like to keep all GIRL Project staff and participants safe. Will your student be vaccinated? *
Some of the students attending the GIRL Project sessions may not be vaccinated. I understand and agree to let my child attend Nature Connect sessions with other students, regardless of vaccination status. *
GIRL Project staff are fully vaccinated. Outdoor staff would like to be unmasked while outdoors and physically distanced. *
We support your choice to decide if you want your child masked or unmasked when at GIRL Project. Please share your preference. *
Image Release: dNaga strives to share images that reflect our programming and dance community. We may take photographs and video/audio recordings during the workshop and performance for inclusion in a variety of media. We will not share your daughter’s full name or school with the public. Do we have permission to share images of your child participating in Girl Project programming? *
Please initial and sign below: I GRANT PERMISSION to dNaga to publish, reproduce and distribute photographs, electronic images or video of my daughter. This permission extends to printed materials, broadcast media and the dNaga website. *
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