Family Science Event Registration Select Event *Arizona Wildlife, Nov 1st, 5-6PMNumber of Adults:Number of ChildrenNames 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.)Your Full Name *Email *Phone Number *Have you been to a Willow Bend event before? YesNoAre you a Member of Willow Bend?YesNoIf not, are you interested in receiving information on becoming a member?YesNoBy 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. In addition, I agree to pay the $5/person participation donation to support this and other programs. YesHow did you hear about this event?Willow Bend's WebsiteWillow Bend's News LetterFacebook - Willow Bend's Page Faecbook - Invited to Event Facebook - Other AZ Daily Sun Calendar KNAU (Calendar or Radio)Flag365 Calendar Radio - OtherFlyer Don't Know Other EmailSubmit Cost of program is $5/person or FREE with family membership. Fees / membership donation will be collected at the door.