Homeschool reg | Into Wilderness

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Wild foods
- The Seasonal Forager
Workshops & events

Registration Form

Please fill out one per each child

First name

Last name

Email

Phone

Emergency Contact # 1*

name, number, relationship

Emergency Contact # 2

name, number, relationship

Any Allergies?

If so, what is the reaction & how is it treated?

Any medical history we should know about?

Any sensitivities, fears, etc we should know about?

Are you coming for spring or autumn?*

What is your child most excited about?

is it okay if we take pictures of your child to use on our website/social media?

Yes

No

How would you like to pay?*

Invoice

How old is your child?

Do you agree to the Terms & Conditions

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