Nature Nuts Kids Club Member Application - Douglas-Hart Foundation

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Douglas-Hart Foundation

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Apply to be a Nature Nuts Kids Club Member:

* Indicates required field

Name *

First

Last

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Birthday: *

Grade Level *

Emergency Contact: *

First

Last

Emergency Contact Phone: *

Why do you want to become a member? *

Something to do To help the nature center Just for fun To learn about nature To help save the earth Because I care To make friends Other:

Other: *

What kind of activities would you like to participate in during meetings? *

Crafts Journals/Writing Games Conservation Work Field Trips Activities Learning Other:

Other: *

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