Common Scents

Registration Form for
“Common Scents”- A Multisensory Herb Garden Experience
New date: August 2nd, 3-5pm
Programs made possible by a grant from the Townwide Fund of Huntington.

Note: Children must be entering from 4^th grade to 7^th grade;
at least 9 years old by September

Child's Name Attending "Common Scents"*

Child's Age*

Address*

Name of Adult Accompanying Child*

Phone Number (cell preferred)*

Email Address*

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Release of Liability

The adult accompanying each child will be required to sign a Release of Liability prior to the start of the class.

The release will ask you to acknowledge that the child is not allergic to any raw vegetables, dairy products, nuts and/or wheat. Snacks might include dips and crackers or bread that contain these ingredients. Also, there are bees in the garden.