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Westport River Watershed Alliance (WRWA)

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Watershed Explorers Registration Form PDF Print E-mail

Watershed Explorers Registration Form

Sign up online or print and submit this form with your check payable to:
Westport River Watershed Alliance (WRWA)
P.O. Box 3427, Westport, MA 02790

Watershed  Explorers Program : $360per child WRWA members ($390*) *Non-member fee

(Once this form is received a welcome packet with health forms will be mailed home)

Program week offered: July 26~30

 

Child #1 Name & Age:

Child #2 Name & Age:

 

Parent/Guardian Name:

 
Mailing Address:
Phone:

Charge your registration on Mastercard, Visa, AMEX, or Discover (please circle)

Amount $ Exp. Date:
Card Number:

last 3 digits (code on back) (4 digits on front of AMEX)
Billing address if different than above:

Note: Programs subject to minimum enrollment requirements.

The Westport River Watershed Alliance is a membership-supported, 501(c)(3) nonprofit organization.