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Welcome to BEan In Nature Summer Camp Registration!

 
Please complete one form per child for Program Registration.
 
If you have questions or concerns please contact marisa@beaninnature.com
Summer Page Link www.beaninnature.com
 
 
Click here for pricing
 
Refer a new friend or family to Bean In Nature and recieve a Referral reward!  Click here for details
 
Marisa 408-930-8201

Select Summer Camp Below

Payment options are at the end of the form. *

Participant/Student Information

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Household / Adult Primary Contact

Relationship to Participant: *
 
Primary Phone Contact
Secondary Phone Contact
Emergency Contact #1
Emergency Contact #2
People authorized to pick up your child(ren)