Description

Attendee's Name*
First Last
Please let us know the full name of your child who will be attending the workshop.
Attendee's Age*
Please enter a number from 1 to 99.
Parent/ Guardian's Name*
First Last
Parent/Guardian's Phone Number*

Additional information

Membership	Member, Non – Member
Workshop	Blowing Rocks Preserve – Dec 27th, McCarthys Wildlife Sanctuary – Dec 28th, Grassy Waters Preserve – Jan 3rd, Black & White Photography – Jan 4th, All 4 Workshops – Dec 27th & 28th and Jan 3rd & 4th

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