Ithaca Children\'s Garden

Child's Name * First Last
Child's Birth Date * MM / DD / YYYY
Parent/Guardian Name * First Last
Parent/Guardian Name First Last
Email *
Phone Number * ### - ### - ####
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Emergency Contact * First Last
Emergency Contact Phone Number * ### - ### - ####
The following individuals have permission to pick up my child.
(please include name and relationship to child) *
Registration is currently open for September 2018 - June 2019

Families can choose to register by academic year, season, or month
I would like to register by: *
Academic Year (Sept.-June) Season (Fall, Winter, Spring) Month

Register for the academic year and receive 10% off tuition.

Register for the season and receive 5% off tuition.
Academic Year Schedule
4-day: Monday-Thursday ($405/month) 3-day: Tuesday, Wed, Thurs ($330/month) 2-day: Monday & Wednesday ($252/month) 2-day: Tuesday & Thursday ($252/month)
Season (Fall) Schedule
4-day: Monday-Thursday ($427/month) 3-day: Tuesday, Wed, Thurs ($352/month) 2-day: Monday & Wednesday ($252/month) 2-day: Tuesday & Thursday ($252/month)

Winter registration will open on 9/15.
Month (September) Schedule
4-day: Monday-Thursday ($450) 3-day: Tuesday, Wednesday, Thursday ($370) 2-day: Monday & Wednesday ($280) 2-day: Tuesday & Thursday ($280)

October and November/December registration will open on 9/15.
I would be interested in Fridays should they become available.
Yes No
If yes...
I'm interested in Fridays in addition to the schedule I indicated above. I'm interested in swapping another day for Fridays.
Please tell us a little more about your child.
Special Concerns and Medical Information
Please list: allergies, medical conditions, dietary or activity restrictions, and anything else we should know about your child.
Please tell us a little about your child.
How did you hear about Playful Nature Explorers?
Do Not Fill This Out

Ithaca Children\'s Garden

Registration is currently open for September 2018 - June 2019

Please tell us a little more about your child.