Mini Earthkeepers Sign Up

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Child's Full Name *

First

Last

Age *

Pronouns (optional)

Parent/Guardian Name *

First

Last

Email Address *

Phone Number *

+x (xxx) xxx - xxxx

Preferred Market Location *

Preferred Date/Time *

Format: Day/xx:xx AM/PM

Allergies or Sensory Needs *

Accommodations Needed *

Would you like to volunteer? (Parent) *

Checkboxes

Age Date/Time Sensory

Additional Notes

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505 W Broadway, San Diego, CA 92101

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