Registration: Ironwood Tree Experience EcoPrograms / Ironwood Tree Experience

Registration Form for ITE EcoPrograms

This registration form provides us with the information we need to get you started with ITE and to ensure that we have the proper contact info for you and for your parent/guardians if you are under 18 years of age.

Your Name:*
First Last
Preferred Gender Pronouns
Date of Birth:*
MM slash DD slash YYYY
Email:*
Cell phone number or the best number to reach you:*
Your Address:*
Street Address City ZIP Code
What is the name of the school that you are attending?*
Year in school:*
Why are you interested in joining Ironwood Tree Experience programs?*
Bio*
In this Bio, please write at least 100 words describing: what is your favorite thing in nature, what are you passionate about, what are you curious about, what are your favorite classes, projects, topics to learn about, what are the place(s) you call home, and what do you hope to learn as you get older and keep growing.
Bio Pic
To tell the story of you as part of the Ironwood Tree Experience community we request your picture. For examples, check out the pics of ITE youth on the EcoNetwork webpage!
Max. file size: 50 MB.
How did you hear about Ironwood Tree Experience?*
If you are under 18 years old, you must provide parent/guardian information
Parent/Guardian Name:
First Last
Parent/Guardian Email:
Parent/Guardian Phone Number:
Do you share the same address as this Parent/Guardian?
- Yes, we have the same address
- No, my Parent/Guardian has a different address
Parent/Guardian Address:
If you are under 18 and your parent/guardian has a different address than you, please enter it here.

Street Address Address Line 2 City State ZIP Code
Would you like to share the information of another Parent/Guardian?
- Yes
- No
Parent/Guardian 2 Name:
First Last
Parent/Guardian 2 Email:
Parent/Guardian 2 Phone Number:
Parent/Guardian 2 Address:
If Parent/Guardian 2 address is different from Parent/Guardian 1 address.

Street Address Address Line 2 City State ZIP Code
Hidden
After This Form is Received...
The Youth Development Manager will be in touch with the participant and their parent/guardian to confirm details and sign up the participant for upcoming EcoPrograms. Once a participant can come to an EcoProgram, the YDM will send medical forms and waivers via email and phone to the participant in advance of the EcoProgram. We encourage participants to come visit us at our Urban Field Station: 738 N. 5th Ave. Ste. 101 in the Historic Y. If you have any questions about registration, please contact the Youth Development Manager at Kristen@ironwoodtreeexperience.org.
Name
This field is for validation purposes and should be left unchanged.

Registration: Ironwood Tree Experience EcoPrograms

Registration Form for ITE EcoPrograms

If you are under 18 years old, you must provide parent/guardian information

After This Form is Received...