High Desert Museum: Public Programs Registration

Public Programs Registration Form

Registration for Paid Public Programs is required to ensure sufficient staff and supplies.
Public Programs include: Backpack Explorers, Workshops, Spring Camp and Summer Camp.

Please call the Museum at 541-382-4754, ext. 320 if you have any questions or problems with registration. Thanks!

This form alone will not guarantee your space without payment. Please call or mail in your payment in order to hold your space.

* Indicates required information.

Adult Name*
Primary Phone*
Secondary Phone
Alternative Phone
Address*
City*	State* Zip*
Email*

Attendee Number 1
Attendee Name*
Age*
Program*
Days or Dates

Attendee Number 2
Attendee Name
Age
Program
Days or Dates

Attendee Number 3
Attendee Name
Age
Program
Days or Dates

Extended Care (if available):	AM only PM only Both
Museum Member?*	Yes No
Additional Comments or Questions
	Thank you for submitting this form. Please mail your check to: Program Registration, High Desert Museum, 59800 S. Highway 97, Bend, OR, 97702. You can also call 541-382-4754, ext. 241 during business hours to register by phone with your credit card number. Thank you.