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Registration

Children's Programs

Parent/Guardian Information

First Name

Last Name

Email

Phone

Street Address

Phone

City

Postal Code

Child's Information

Child's full name

Birthdate

List any known allergies

Describe any special needs which may require accommodation or additional support

I am registering the above child for:

Acorns and Oaks Program - Mondays at Stoneridge Farm

Fall Session (Sept-Nov 2023)

Spring Session (Apr-Jun 2024)

Chickadee Program - Wednesdays at Stoneridge Farm

Full Year Program 2023-24 (Sept-Jun)

Heron Program - Fridays in Harrington

Full Year Program 2023/24 (Sept-Jun)

COYOTE NATURE SCHOOL

ST. MARYS | ONTARIO | CANADA

T 519-852-1842

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