Nature Arts Form
Sycamore Park, Rte 132, Batavia   •   (513) 818-COOP (2667)    •   clermonthomeschoolers@gmail.com   (Updated 6/28/17)
Sign in to Google to save your progress. Learn more
Email *
CONTACT INFO:
Your Name: First, Last  and Facebook Name if Different:
City *
Mobile Phone/Text *
NATURE ARTS PARK DAYS:
Mondays, Sycamore Park, Batavia
First Child: Name, Age, DOB, Any Special Needs * *
Siblings: Names, Ages, DOB, Any Special Needs:
I agree to the expectations described on the website. *
Required
Signature *
Date *
MM
/
DD
/
YYYY
*Classes are subject to change

If a class does not have an Instructor or enough student, it will be canceled. If there are not enough people registered a class will also be cancelled. If there is a change affecting your child, we'll contact you with options, including a full refund. Thanks so much for your patience!

*The collected data is kept strictly confidential.
*Only fully completed forms are accepted.
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms