Community Homeschool Investigators of the River Park
CHIRP Program Registration Form
Discounts and Purchase Orders will be applied at checkout at the end of the form.
Please refer to our
CHIRP Themes & Pricing Sheet
for more information on monthly series themes, session dates, and pricing options for program fees.
Registering Guardian/Caregiver Information
Guardian/Caregiver First Name
Guardian/Caregiver Last Name
Guardian/Caregiver Email
Guardian/Caregiver Phone
Student Participation Information
This section must be filled out for each student participating in CHIRP. If you are registering more than one student for CHIRP, additional student sections will follow.
Student First Name
Student Last Name
Student Birthdate (mm/dd/yyyy)
Student Age Group
5-8 years old
9-12 years old
HIDE SECTION
Choice A
Choice B
Choice C
HIDE
HIDDEN SECTION
Please Select Your CHIRP Sessions Fall/Winter Season
November (11/1, 11/8, 11/15, 11/22, 11/29) - Habitats & Ecosystem
s
December (12/6, 12/13, 12/20) - Astronomy & Climate
Please Select Your CHIRP Sessions Spring Season
January (1/2, 1/9, 1/23, 1/30): Energy
February (2/6, 2/13, 2/27): Meteorology
March (3/6, 3/13, 3/20, 3/27): Lifecycles & Development
April (4/3, 4/10, 4/17, 4/24): Botany & Gardening
May (5/1, 5/8, 5/15, 5/22): Anatomy & Wellness
Fall/Winter Season
$
.00
RegField A Fall - Hidden
Full Season Purchase:
A $50 discount will be applied for all full season registrants.
Full Spring 2023 Season (January-May)
Individual Monthly Series Purchase:
A Friends of GRPC Membership 25% discount will be applied to monthly series registrants at checkout if applicable.
January (1/2 session only): Energy
January (1/2, 1/9, 1/23, 1/30): Energy
February (2/6, 2/13, 2/27): Meteorology
March (3/6, 3/13, 3/20, 3/27): Lifecycles & Development
April (4/3, 4/10, 4/17, 4/24): Botany & Gardening
May (5/1, 5/8, 5/15, 5/22): Anatomy & Wellness
Program Fee
$
.00
RegField A -Spring - Hidden
Is the student receiving a
Charter School Purchase Order
?
Yes
No
Families registering for CHIRP programming through purchase orders will incur a registration fee of $30 per student, per season.
Purchase orders cover the programming fee which will not be charged to your card.
Disclaimer: the final amount due will be displayed at the end of the form
Charter School Name
Registration Fee
$
.00
Program Fee Subtotal
$
.00
Friends of GRPC Membership Information
With the purchase of a GRPC
Sustaining Membership or Annual Membership
, a 25% discount will be applied to Monthly Series registration at checkout. Members enjoy special opportunities and updates year-round with the Conservancy.
Do you have a Conservancy membership?
Yes
No
Friends of GRPC Membership Information
With the purchase of a GRPC
Sustaining Membership or Annual Membership
, a 25% discount will be applied to Monthly Series registration at checkout. Members enjoy special opportunities and updates year-round with the Conservancy.
Do you have a Conservancy membership?
Yes
No
Cancellation & Refund Policy
Please refer to our
Cancellation & Refund Policy
.
I understand and agree to the Cancellation & Refund Policy.
Yes
Registration Statement
Registration is not complete until payment is submitted, Family Information Form is filled out, and confirmation is received from GRPC.
You will automatically be directed to the Family Information Form link once this form is submitted.
I understand and agree to the Registration Statement.
Yes
Total Due
Amount Due Today
$
.00
Payment Information
Name on Card
Card Number
MM
YY
Code
Billing Email
Contact Information