Select Class Section
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Mondays, 9:30am at Yahara Place Park (9/20-11/8)
Thursdays, 9:30am at Heritage Heights Park (9/16-11/4)
Fridays, 9:30am at Lake Farm County Park (9/17-11/5)
Saturdays, 10am at Yahara Place Park (9/18-11/6)
Child 1
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First Name
Last Name
Child 1 DOB
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MM
DD
YYYY
Child 2
First Name
Last Name
Child 2 DOB
MM
DD
YYYY
Child 3
First Name
Last Name
Child 3 DOB
MM
DD
YYYY
List any allergies or important information to note
Parent
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First Name
Last Name
Parent Email
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Parent Phone
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(###)
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Parent Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Additional Caregiver (attending classes)
First Name
Last Name
Additional Caregiver Email
Additional Caregiver Phone
(###)
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How did you hear about Naturing in Madison?
From the leader
From a friend
At a community event
Facebook
Instagram
HulaFrog, Madison Moms Blog, etc.
Other
Other/Friend name
Waivers and agreements
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Outdoor Hazards Waiver
There are hazards of outdoor activity to include, but are not limited to: Injuries from physical activities; Injuries from failing to properly use tools; Exposure to weather and water; Exposure to wildlife and plants.
Emergency Waiver
In an emergency, the onsite guardian will be responsible for determining the best course of action for their child(ren). Naturing in Madison leaders can provide basic first aid supplies and assist in their application as needed.
Liability Waiver
Naturing in Madison leaders will exercise many cautions to prevent mishaps (including adequate adult supervision, extreme care in potentially dangerous situations, clear communication with children), injuries are still possible. Provided adequate precautions have been taken by Naturing in Madison leaders, enrolling families assume all risks of injury, hereby releasing and holding Naturing in Madison harmless along with their contractors from liability for any such injury.
Please read the waivers and agreements carefully. They include a release of liability and waiver of legal rights, and deprive you of the ability to sue certain parties. By agreeing electronically, you acknowledge that you have both read and understood all the text presented to you as part of the registration process.
Photographs
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We take photographs in class for families to look at back at the fun we had and continue the conversation at home. We also like to share the photographs we take more broadly, when possible. Please select your preference regarding photographs of your child and family.
