Welcome to BEan In Nature Afternoon Adventures Program!

Please complete one form per child for Program Registration.

If you have questions or concerns please contact marisa@beaninnature.com OR view our policies page

www.beaninnature.com

As soon as you register we go to work preparing for your child administratively. We hold a space in the program and plan our teachers and supplies. For these reasons,

our Registration fee is non-refundable see all info below at Registration Area or see our Policies Page

Wednesday Program Pricing

Click here for pricing details

Family Camp out- We are planning for Mount Madonna for the Fall, see our Policies Page or

Click here for more Family Camp out info

Dates - FALL Family Camp out MOUNT MADONNA; NOVEMBER 1-3RD

Spring - A new location TBA

What is offered? Your child will be able to participate in Friday Afternoon activities and Saturday AM-afternoon to eve activities, with the staff supervision, for skills appropriate to their age group!

Paid for within your tuition.

Program Proration if needed?

Sorry there is no proration please see our policy page for extenuating circumstances.

Fall and Spring Calendar dates, see our Calendar on our site

We look forward to a fantastic year with your family!

The Bean Team

Select Program Below

Payment options are at the end of the form- see price sheet details for options *

Wednesday Stevens Creek County Park 2pm-5pm

TRIAL DAY $60 * MUST SCHEDULE THIS DAY WITH MARISA@BEANINNATURE.COM*

How did you hear about our programs? *

Ocean Grove Family *

Full Name of Friend who referred you

Participant/Student Information

Participant First Name *

Last Name *

Birth Date * +

Female/male *

Age at start of program *

Household / Adult Primary Contact

Relationship to Participant: *

Mother

Father

Guardian

Other Other

Parent/Guardian Name *

Parent/Guardian Last Name *

Primary Phone Contact

Primary Phone *

Primary phone is *

Secondary Phone Contact

Secondary Phone *

Secondary phone is *

Email Address *

Address 1 *

Address 2

City *

Zip *

Emergency Contact #1

Emergency Contact First Name *

Last Name *

Phone Number *

Emergency Contact #2

Emergency Contact First Name *

Last Name *

Phone Number *

People authorized to pick up your child(ren)

Pick up person First Name

Last Name

Phone Number

First Name

Last Name

Phone Number