Registration This registration form is for first timers! If your child hasn’t joined our nature bound program yet please make sure to fill out the form and submit it before you purchase a ticket. Parent 1 Name * First Name Last Name Parent's Phone Number * (###) ### #### Email * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Parent 2 Name First Name Last Name Your Child's name * First Name Last Name Your Child's Date of Birth * MM DD YYYY Child 2 Name First Name Last Name Child 2 Date of Birth MM DD YYYY Does your child have allergies, special needs, or behavioral issues? * If so please tell us know what exactly. Emergency Contact Name * First Name Last Name Emergency Phone Number * (###) ### #### Agreement * I read and agree to 'The Basics' and the 'Terms and Conditions'. I understand that this is not a childcare program. I agree How did you hear about us? Thank you! Now you’re good to go and ready to purchase a ticket. We’re excited to meet you soon!
