Child’s Name:__________________________ sex: M F age:____ date of birth:__________

Child’s Name:__________________________ sex: M F age:____ date of birth:__________

Child’s Name:__________________________ sex: M F age:____ date of birth:__________

Children must be entering first grade in September or older.
 

Names of Parent(s):______________________________________________________________
 

Home phone #: ______________ Work phone #:____________ Cell ______________
 

Address: ______________________________________________________________

City_______________State ____Zip _______________
 

E:mail ________________________________________________________________

How did you learn about our camps? ______________________________________________________

Right to Use Photographic Likeness The undersigned grants to Granny’s Garden School the right to use and publish for educational or publicity purposes photographic likeness of: _____________________________ without identifying the child. ___________________________________________________

                                  Signature of child’s parent or guardian                        Date
 

I agree that by registering my child for and of Granny's Outdoor Adventure camps, I am giving permission for my child to eat a variety of garden produce and herbs. _____________________________________________________

                                                                          Signature of child’s parent or guardian          Date

Please indicate which camp (s) you are registering for by choosing the number of kids you are signing up. The cost of the classes will be automatically calculated. You can also add a donation by clicking on the cost box and typing in the amount. The total cost will then be calculated.

___ 1st child = $125  ___ 2nd child = $100  ___ 3rd child = $75