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ECOS Nature Club Registration

    ECOS Nature Club starts on Saturday, March 29 at the Discovery Center and meets from 9:30 to 12:30 every Saturday through May 17. Green Works' Nature Club is funded by the Children's Services Fund of Jackson County. If your child lives outside Jackson County, they will be placed on a waiting list.

    Student name (required):

    Elementary or middle school student attends (required):

    Grade in Fall 2024 - Spring 2025 (required):

    4th5th6th7th

    Full home address including city and state (required):

    Home ZIP code (required):

    Parent or guardian name (required):

    Parent or guardian telephone number (required - we will text reminders to this number):

    Parent or guardian email address (required - we will email reminders to this address):

    Additional emergency contact available during class hours (different from Parent/Guardian above):

    Emergency contact name (required):

    Emergency contact telephone number (required):

    Allergy information:

    Other medical or developmental information we should be aware of:

    Demographic Information (required):

    We collect this demographic information solely for reporting purposes. This information does not in any way affect your eligibility for the ECOS program.

    Gender (required):

    FemaleMaleGender NonconformingPrefer not to answer

    Race/ethnicity (required):

    American Indian or Alaska NativeAsianBlack or African AmericanHispanic, Latino, or Spanish OriginMiddle Eastern or North AfricanNative Hawaiian and Other Pacific IslanderWhiteOther/Multiple race, ethnicity, or origin identificationPrefer not to answer

    Attendance (required):

    Please check all the dates you anticipate your child will be able to attend ECOS Nature Club.

    Mar 29Apr 5Apr 12Apr 19Apr 26May 3May 10May 17

    How did you hear about us? Please be as specific as possible including location, social media site, name of individual or organization, etc. (required)

    We are committed to providing high-quality educational and workforce opportunities to motivated young people living in the urban neighborhoods served by the Kansas City Public Schools. Within this target population, we will not discriminate based on economic or social status, race, color, religion, sex, national origin, sexual orientation or physical disability.

    We use the contact and personal information above only to communicate with families and ensure the safety of participants. We use non-identifying information for funder reports.

    While Nature Club is a free program, we do request a $5/student registration fee. You will be directed to the fee payment page after submitting this registration. If the cost of this fee is prohibitive for you, you can bypass the fee payment by closing that window, but you must click Submit below in order to complete your registration before doing so.

    ECOS Nature Club Registration

      ECOS Nature Club starts on Saturday, March 29 at the Discovery Center and meets from 9:30 to 12:30 every Saturday through May 17. Green Works' Nature Club is funded by the Children's Services Fund of Jackson County. If your child lives outside Jackson County, they will be placed on a waiting list.

      Student name (required):

      Elementary or middle school student attends (required):

      Grade in Fall 2024 - Spring 2025 (required):

      4th5th6th7th

      Full home address including city and state (required):

      Home ZIP code (required):

      Parent or guardian name (required):

      Parent or guardian telephone number (required - we will text reminders to this number):

      Parent or guardian email address (required - we will email reminders to this address):

      Additional emergency contact available during class hours (different from Parent/Guardian above):

      Emergency contact name (required):

      Emergency contact telephone number (required):

      Allergy information:

      Other medical or developmental information we should be aware of:

      Demographic Information (required):

      We collect this demographic information solely for reporting purposes. This information does not in any way affect your eligibility for the ECOS program.

      Gender (required):

      FemaleMaleGender NonconformingPrefer not to answer

      Race/ethnicity (required):

      American Indian or Alaska NativeAsianBlack or African AmericanHispanic, Latino, or Spanish OriginMiddle Eastern or North AfricanNative Hawaiian and Other Pacific IslanderWhiteOther/Multiple race, ethnicity, or origin identificationPrefer not to answer

      Attendance (required):

      Please check all the dates you anticipate your child will be able to attend ECOS Nature Club.

      Mar 29Apr 5Apr 12Apr 19Apr 26May 3May 10May 17

      How did you hear about us? Please be as specific as possible including location, social media site, name of individual or organization, etc. (required)

      We are committed to providing high-quality educational and workforce opportunities to motivated young people living in the urban neighborhoods served by the Kansas City Public Schools. Within this target population, we will not discriminate based on economic or social status, race, color, religion, sex, national origin, sexual orientation or physical disability.

      We use the contact and personal information above only to communicate with families and ensure the safety of participants. We use non-identifying information for funder reports.

      While Nature Club is a free program, we do request a $5/student registration fee. You will be directed to the fee payment page after submitting this registration. If the cost of this fee is prohibitive for you, you can bypass the fee payment by closing that window, but you must click Submit below in order to complete your registration before doing so.

      ECOS Nature Club Registration Form

      Complete the form below:

      ECOS Nature Club starts on Saturday, March 29 at the Discovery Center and meets from 9:30 to 12:30 every Saturday through May 17. Nature Club is funded in part by the Children’s Services Fund of Jackson County. If your child lives outside Jackson County, they will be placed on a waiting list.

      Additional emergency contact available during class hours (if different from Parent/Guardian above):

      Demographic Information (required):
      We collect this demographic information solely for reporting purposes. This information does not in any way affect your eligibility for the ECOS program.
      Please select all the dates you anticipate your child will be able to attend ECOS Nature Club. To select multiple dates, hold down the "Command" key on a Mac, or the "Ctrl" key on a PC
      We are committed to providing high-quality educational and workforce opportunities to motivated young people living in the urban neighborhoods served by the Kansas City Public Schools. Within this target population, we will not discriminate based on economic or social status, race, color, religion, sex, national origin, sexual orientation or physical disability. We use the contact and personal information above only to communicate with families and ensure the safety of participants. We use non-identifying information for funder reports.

      While Nature Club is a free program, we do request a $5/student registration fee. You will be directed to the fee payment page after submitting this registration. If the cost of this fee is prohibitive for you, you can bypass the fee payment by closing that window, but you must click Submit below in order to complete your registration before doing so.
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