Planter Box Workshop

Questions marked with a * are required

Registration

Please fill out the whole form. You will need both the youth/young adult and their parent/guardian to complete this form if under 18. You will receive a confirmation email once it is complete. If you do not receive the email, please reach out to Karen Asbury at karen@ncidc.org or 707-445-8451 to confirm that we have received your registration.

Thank you for your interest in the event! This planter box workshop will be hosted at 1250 Giuntoli Lane, Arcata Ca (Carlson Park Drive, last gate on the right). Participants will learn the skills necessary to make their own planter box and will be leaving the workshop with their own finished product.

All information provided on the form will be kept confidential and will not be shared with any external parties.

Youth/Young Adult Contact Information

First Name

Last Name

Youth/Young Adult Cell Phone

Email Address

Address Line 1

Address Line 2

City

Zipcode