High Country Registration for OWL 2023/24 Cohort

Guardian #1

Name

This address will receive a confirmation email

Phone

Guardian #2

Fist Name

Last Name

This address will receive a confirmation email

Phone

Youth Registrant #1

First Name

Last Name

School They Attend

Grade 2023/24 school year

Please select one.

Youth Registrant #2

First Name

Last Name

School Youth #2 Attends

Grade for Youth #2 for 2023/24 School Year

Please Choose One

Guardian #1 Address

Street Address

Guardian #2 Address

Street Address

I am able to help with snack set up and clean up

Yes - multiple times Maybe Ask me about another way to assist I am unable to help at this time

Deposit (2023-24 Year)

Todays Date

Special request, questions, comments

Payment

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

This registration and interest form is for a new 2023-2024 OWL Cohort, which begins September 2023. The total cost will be $300 received in payments or all at once. To hold a space now, $50 deposit is required. If you want to help with workshops, get trained or know of someone to help with this sexuality curriculum, please write this in the last box "Specific Requests, Questions, Comments"

We do have funds available for scholarships as needed.

High Country Registration for OWL 2023/24 Cohort

Description

Please Fix the Following