Platt Nature Center Registration
Step 1 of 3: Submit
Platt Nature Center Registration Online Form
Child's Name
*
Date of Birth
*
Address
*
Town
*
State
*
Select an option:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Dist of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
*
Please select a session
Stop, Look & Listen - Entering 1st & 2nd Grade - ($250 USD)
Let's Find Out - Entering 3rd & 4th Grade - ($250 USD)
Adventure Rangers - Entering 5th & 6th Grade - ($275 USD)
Parent/Guardian Name
*
Parent/Guardian Email
*
Parent/Guardian Phone Number
*
Emergency Contact Number 1
*
Emergency Contact Number 2
*
ENROLLMENT IS LIMITED. Classes fill early. We will notify you if a program is full.
I give my child permission to participate in The Platt Nature Center Summer Program:
*
Select an option:
Yes
No
*
indicates required fields