Student Registration Form
Fill out the form carefully for registration
Student Name
*
First Name
Last Name
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian E-mail
*
Parent/Guardian Mobile Number
*
-
Area Code
Phone Number
Parent/Guardian II Name
First Name
Last Name
Parent/Guardian II E-mail
example@example.com
Parent/Guardian II Mobile Number
-
Area Code
Phone Number
Student Age
*
Student Teacher Name
*
Does the student have food allergies?
*
Yes
No
If yes, please explain food allergies
Is your student one of the following?
Vegetarian
Vegan
Does student have medical concerns?
*
Yes
No
If yes, please explain medical concerns in detail
Please select the DIG IT session for which you are registering:
*
Homesteading for Kids TUESDAYS
Additional Comments
My Products
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Homesteading for Kids- TUESDAYS
$
76.00
Total
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0.00
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