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Family Program Registration Form
Register for a family program by completing the information below, then click on the SUBMIT Family Program Form button.
Program Name:

Registrant Name:

Address:

City:

Home Phone:

Cell Phone:

Email:
I certify that my child/children is/are healthy and free of problems that could hinder his/her participation in Trumbull Nature and Art Center Classes.

In case of injury, I wish to be contacted as soon as possible at the telephone listed above. If I cannot be reached, please contact individual listed as emergency contact above at the telephone number provided. In the event of serious illness or injury which would require my child to be sent to a local hospital via ambulance, I understand that I am responsible for all charges either through health insurance or otherwise.

Please note that if your child is assisted during the school year, we encourage you to accompany him/her during the program. Thank you for your consideration.

Cancellation Policy: The Trumbull Nature & Arts Center’s cancellation policy states that reimbursement in full will be given only to classes that are cancelled by the Nature Center.

I understand that I, or my child and/or their artwork may be photographed for TNAC marketing purposes.

Questions on Registration? Contact: registrar@trumbullnatureandartscenter.org
Registration
How to register for programs:
Registering is a two-step process.
1) Complete and submit the appropriate Registration Form below.
2) Next, go to the payment page to pay (unless program is free or cash at the door.)

Drop-ins allowed at the discretion of the teacher, based on space and materials availability.

If you have questions regarding registration or payment, email: patronsoftnac@gmail.com

State:
Zip:

Name of first attendee:

First attendee's Date of Birth (if registering a minor): (Adults: Please enter "Adult")

First attendee's Allergies/Medical Conditions (Write none if no allergies or medical conditions):

Name of second attendee:

Second attendee's Date of Birth (if registering a minor): (Adults: Please enter "Adult")

Second attendee's Allergies/Medical Conditions (Write none if no allergies or medical conditions):
Come Visit: 7115 Main Street, Rte 25, Trumbull, CT 06611 Phone: (203) 452-4421info@trumbullnatureandartscenter.org
Mailing Address: Patrons of TNAC, Inc, P.O. Box 110438, Trumbull, CT 06611
Please indicate the number of participants that will be attending:
Number of Adults:
Number of Children over age 4:
Registration is a two-step process. Complete and submit the Registration Form and Submit Payment (except for FREE programs.)
For Family Programs, like Maple Sugaring, payment is cash at the door.
Number of Children under age 4:
How did you hear about this program?
Individual Program Registration Form
Register up to 2 individuals for a program or class, then click on the SUBMIT Individual Program Form button and proceed to payment page.
Click SUBMIT button after completing Family Program Registration Form above.
If payment is cash at the door, please remember payment on the program date.
Program Name:

Parent/Guardian Name (or your name if registering as an adult):

Address:

City:

Home Phone:

Cell Phone:

Email:

Emergency Contact Name:

Emergency Contact Phone Number:
State:
Zip:
How did you hear about this program?
Click SUBMIT button after completing Individual Program Registration Form above,
then proceed to PAYMENT PAGE.
I acknowledge that I have read the above statements and attest and agree to them.