Family Science Event Registration

Amazing Arthropods, May 18th, 10:00AM-12:00PM

Your Name (required)

E-mail (required)

Phone Number (required)

Number of adults:

Number of Children

Names and Ages of Children Attending: (Please include ALL children you will bring; this includes younger siblings. Note that kids must be age 4 or older to participate.)

How did you hear about this event?
Willow Bend's WebsiteWillow Bend's NewsletterFacebookAZ Daily Sun CalendarKNAU (Calendar or Radio)Flag365 CalendarRadio - otherFlyerI don't remember

Have you been to Willow Bend before?
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Are you a member?
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If not, are you interested in receiving information on becoming a Member of Willow Bend?
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By checking this box I grant permission to Willow Bend Environmental Education Center to use photographs of my participation in program activities for publicity, advertising, brochures, web content, or other similar media for the purposes of promoting future educational programs at Willow Bend. I understand that my name will not be included in such publications.
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