EARTH SCHOOL REGISTRATION, KIDS

REGISTRANT'S FIRST NAME*

REGISTRANT'S LAST NAME*

CHILDS AGE

PARENTS NAMES

EMAIL

PHONE*

SELECT WORKSHOP- LEAVE SPECIFIC CAMP DATES IN 'COMMENTS'

ES SATURDAYS $25/DAY - $25

ES SATURDAYS 4/$90 - $90

SUMMER CAMP 1 WEEK - $345

SUMMER CAMP 2 WEEKS - $675

SUMMER CAMP 3 WEEKS - $1000

CRYSTAL WORKSHOP FOR ONE - $15

CRYSTAL WORKSHOP FOR TWO - $25

GENERAL DEPOSIT - $0

SPECIFIC CAMP OR WORKSHOP DATES BELOW....AND ANY OTHER COMMENTS:

Thank you!

Can't wait to see you!