Greens Weekend Sign Up

Emergency Contact *

First

Last

Emergency Contact Email *

Please list any medical conditions you have and any medications you are taking. *

Please list all allergies and reactions you have to food, insect bites and stings, medications, or plants *

Do you have any concerns getting into the water (55 degrees Fahrenheit)? *

Payment information. Please select your sliding scale tuition rate based on your annual household income(s) *

Annual Income up to $29,000 - $100 $30,000 - 49,000 - $150 $50,000 - 99,000 - $200 $100,000 - 184,000 - $250 $185,00 and above - $300 Will submit a financial aid application

Thank you! We'll be in touch with you soon to ask you any questions, and to let you know the status of your acceptance into this weekend program. Insurance covered by TSCA, Ferry tickets and transportation to Greens/Rockland, Meals, and Instruction are all included in tuition. Do you have any questions at this time? *

Emergency Contact Relationship To You *

Emergency Contact Phone Number *

Please list any dietary restrictions or needs. *

Are there any physical or medical needs that will effect your ability to participate in this experience fully? *

JUNE WORKPARTY + BOATS WEEKENDFRIDAY JUNE 7 - SUNDAY JUNE 9, 2024

JUNE WORKPARTY + BOATS WEEKEND
FRIDAY JUNE 7 - SUNDAY JUNE 9, 2024