Registration Form - YES! Youth Explorer Series - Northern Michigan Land Trust

Pick Your Summer Program(s)**
- Select All
- Mountain Biking Adventure - June 29
- Wilderness Survival: Shelter Building - July 6
- Creek Crawl - July 13
- Kayaking Round Lake - July 20
- Adventures on the Pigeon - August 3
You can select as many programs as you would like to register for.
Parent Name*
First Last
Child / Children's Names and Birthdays*

Please list the name of each child attending the chosen program or programs along with their full birth date. Ex: Sam Smith 5/1/2007, John Smith 5/2/2009
Parent Contact Email*
Parent Contact Phone*
Address*
Street Address Address Line 2 City State ZIP Code
Are you a current LTC Member?*
- Yes
- No
Membership is not required for education programs, but our members make them possible and free of charge!
Become a Member
Important information that our teachers should know
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