Lagoon Academy Wednesday - May 2023 - 10AM-12PM — Environmental Learning Center

Classes will meet every Wednesday from 10 AM - 12 PM

Things to Bring: Mask, sunscreen, insect repellent, water bottle, snacks, and rain jacket. Please remember that the class will take place outdoors, so prepare your child(ren) for the weather conditions of the day.

Add to Basket

All Spots Have Been Filled

Student Name (first and last)*

This field is required.

Student Date of Birth*

This field is required.

List Your Child's Medical Conditions or Allergies (If none, please type N/A)*

This field is required.

Parent First Name*

This field is required.

Parent Last Name*

This field is required.

Street Address*

This field is required.

City*

This field is required.

State*

This field is required.

Zipcode*

This field is required.

E-mail Address*

This field is required.

Primary Phone Number*

This field is required.

Alternate Phone Number*

This field is required.

Emergency Contact Name*

This field is required.

Emergency Contacts Relationship to Student*

This field is required.

Emergency Contacts Primary Phone Number*

This field is required.

Emergency Contacts Alternate Phone Number*

This field is required.

All Adults Authorized to Pick Up Student (First and Last name of each; separate each with a comma)*

This field is required.

Click Here For Behavior Policy

I've read the Behavioral Policy and I agree to the rules and procedures*

Click Here for Indemnification & Hold Harmless Statement

Photo Release: We reserve the right to photograph participants and share the photos unless you opt out at the front desk upon arrival for the program.

I've read the indemnification and hold harmless statement and I agree to the terms and conditions*

I acknowledge that refunds will only be granted up to 3 weeks prior to start of session, and that no refunds will be issued after that time.*

How did you hear about ELC's Lagoon Academy?*

This field is required.

Any Additional Notes or Comments

This field is required.

My Account

Lagoon Academy Wednesday - May 2023 - 10AM-12PM

Add to Basket