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Garden Club of St. Petersburg
2023 Junior Gardener Program Registration
Cost:
$30.00 for 5 classes
Second child in family $25.00
Dates:
Feb. 12 - April 2, 2023
Time:
1:00 PM - 3:30 PM
For Kids!!! The Garden Club of St. Petersburg fourth Winter Gardening Camp for Youth; grades 1 -5.Five Sundays: February 12th and 26th, March 5th and 26th and April 2nd. 1:00 - 3:30 at the Garden Club's Gardens, 500 Sunset Drive South.Programs: Journey to the Center of a Seed, Let’s Get to the Root of It., Make New Plants but Keep the Old, Photosynthesis Runs the World and A Butterfly Garden for My Home.
Child's Information
Child's Name
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First
Last
(Please use a separate form for each child)
Address
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Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Child's Date of Birth
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MM
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DD
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YYYY
Child's Age
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Child's Gender
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Boy
Girl
Other
Does the child have any medical concerns of which we should be aware?
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Who will be picking up the child?
Guardian's Contact Information
Guardian's Name
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First
Last
Relationship to Child
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Guardian's Cell Phone
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Guardian's Email
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Payment Information
How do you intend to pay for this program?
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Check
PayPal
If paying with a check, please enter the check number above.
Please make checks payable to the Garden Club St. Petersburg and mail checks to:
Youth summer Camp, 500 Sunset Drive, St. Petersburg, Florida 33707-1136
Applying for a scholarship?
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Yes
No
Other Information
How did you hear about the Garden Club's Summer Camp?
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GCSP Website
Facebook
I am a junior gardener
Instagram
FL Federation of Garden Clubs
Twitter
Internet Search
Yelp!
Friend
Other
Please read and sign below.
By your signature below, you give permission and acknowledge that photographs and/or video may be taken of your child and that The Garden Club of St. Petersburg may use such media and/or likenesses in print, on the Internet, and/or for training purposes. If you have an objection to the use of your child’s image, please contact The Garden Club of St. Petersburg before completing this form.
Please print your full name
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Date Time
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Signature
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**To avoid duplicate submissions, please only click "Submit" once. It may take a moment for the form to process and move to the next page.**
