Register and pay for the Willow Way Childrens Permaculture Project Grow either by mail or by email:
By mail: Print and fill out this registration form, then send the form and registration fee to 6481 N. 63rd St, Longmont, CO 80503, made to Willow Way.
By email: Copy and paste this form into an email and send it to ziaparker@yahoo.com. Then go to paypal.com and send your registration fee to ziaparker@yahoo.com.
Child’s Name:
Parent or Guardian’s Name:
Street/ PO Address:
Town, State, Zip:
Phone:
Email:
Child’s Age/ Grade/ Food Preferences:
Anything special you would like to say about your child:
Anything other comments you would like to make:
Would you and your child like to carpool with other parents? Might you be available to help with carpooling on some days? If so, from where?:
More information about the Willow Way Permaculture Design Course is at www.willowwaywellness.com/pc
