Welcome To Plant Pals Club: Fern Family

Hello Plant Parent(s)!

Please complete this form to sign-up your child for our Plant Pals Club Program. This program is recommended for children entering K-6th Grade. We will be providing Plant Pals Kit  (via pick up at our store) that will include all the materials your child will need.

Are you ready to explore the complexity, beauty and mysteries of the plant kingdom? 

Also, because different children often have different experiences, please complete this survey once per child.


Thanks! 
Las Selvas
1.Please write the full name of your child that is participating in our program.(Required.)
2.Please write your email.(Required.)
3.Are you a returning member ? (If you are, please answer this question and submit the form no need to answer the rest of the questions)(Required.)
4.What grade is your child ?
5.What age is your child ?
6.How many houseplants do you have in your home?
7.How many houseplants does your child own?
8.Please rate the extent to that your child agrees/disagrees with the following: I have experience with growing houseplants. By experience, that could mean opportunities in the past to plant or repot plants in your home, watering the plant sometimes, or making sure the plant is being taken care of (i.e. placing the plant in the appropriate light, checking the room temperature, checking the soil moisture level and etc).
Disagree
Neutral 
Agree
9.Photo Release Agreement: Las Selvas has my permission to use my photographs publicly for but not limited to research, promotional, social media and website purposes. I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use.
10.Do you have any other comments or questions ? 
Current Progress,
0 of 10 answered