Platt Nature Center Registration Online Form

Child's Name * Date of Birth * Address * Town * State * Select an option:AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDist of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming 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:YesNo