Garden Club Enrollment Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please complete this form for each child you are registering for the Harper Garden Club. Class size is limited to 8 students and will be filled on a first come, first serve basis.

Student Name *

Student Grade *

Teacher *

Home Phone *

Alternative Phone *

e-mail address *

After school my child will *

If your child will be picked up, please be sure to list authorized adults. In the event they will be going home with an adult who is not listed, PLEASE call the office or send a note indicating the change.

The following adults are authorized to pick up my child:

Please list names separated by commas

Submit

Clear form

Never submit passwords through Google Forms.

Forms

This content is neither created nor endorsed by Google.