Eco-Arts: In Your Backyard

Registration Form

If you have more than three participants, please register a second time using this same form.
Participant/Child's Name *
Participant/Child's Name
Participant/Child's Name 2
Participant/Child's Name 2
Participant/Child's Name 3
Participant/Child's Name 3
Parent/Guardian's Name *
Parent/Guardian's Name
Address *
Address
Phone *
Phone
Emergency Contact *
Emergency Contact
Other than Parent/Guardian
Emergency Contact Phone *
Emergency Contact Phone
Grandma, Uncle, Friend, etc.
Sessions Attending *
See description of each program above or visit https://www.palisadesparks.org/eco-arts-program
I hereby give permission for photographs or videos with my or my child’s image to be used, in-print or digitally, in connection with publicity, educational materials, or published in connection with Palisades Parks Conservancy and/or the creative work of Strawtown and Strawtown artists
I hereby give permission for my or my child’s name to be written or spoken for promotional or artistic purposes (as above)
Sign me up for the Palisades Parks Conservancy Newsletter for more updates on programming, events, and latest news
I hereby release The Palisades Parks Conservancy and all employees and staff of Strawtown Studio from all claims of liability for any damages or injuries that may be sustained while I or my child is in this program
Today's Date *
Today's Date
If Other, please specify in the Message section.
If Other, please specify in the Message section.
Questions or concerns? Need special accommodations? Please let us know here or contact us (see contact info further down below).

For more details on all our sessions, click here.

Unable to attend? Registrations are first-come, first-serve. Please notify us 48 hours in advance if your family or group is no longer able to attend so we can give your spot to groups on the waitlist.

If we have to cancel:  Canceled sessions, while rare and typically associated with severe weather or other extreme events, will be communicated to registrants with as much advance notice (we aim to advise you 24 hours in advance) and be posted through social media and on our website.

Personal Property: Neither Strawtown nor the Conservancy is responsible for lost, missing or damaged clothing or items brought to the program.

Questions?

email: info@mypalisades.org

call: 845-631-8174