435 N. Wisconsin Drive Howards Grove, WI 53083
phone: 920-946-6150 web: http://hgactivitycenter.weebly.com
Registration Form: Intro
to Composting
Cost of Program: $8
(Make checks payable to Howards Grove Activity Center)
You may mail forms, or call to schedule a drop off time
(If class has limited spots mailing registration doesn’t guarantee spot)
Registration Due Date: Friday, June 12th
Return lower portion of this form with your payment.
Instructor – Laura Sauermilch, a Master Composter & Recycler from Innovative EHS Solutions LLC held from 10am – 11am June 13th. This
class will introduce participants to basic composting for kitchen scraps and backyard materials includes how to get started.
We will learn how to tell when compost is ready, & what to put in the bin. Participants will take home handouts to ensure their
success at home.
-----------------------------------------------------------------------------------------------------------------Program Name: Intro to Composting
Cost of Program: $8
(Make checks payable to Howards Grove Activity Center)
First Name: ______
Last Name: _________________________________
Date of Birth: ____/____/____ Age: __________
Address: ____________________________________________Home Phone #: ____________________
Email: ______________________________________________ Would you like our e-newsletters? Y N
Home phone or Cell#: __________________________
Do you child have any medical conditions we should know about? Please indicate condition and/or medication
needs._________________________________________________________________________________________________
Physician’s Name: ______________________________________ Phone#:___________________________
Would you give the HG Activity Center permission to use your photos in educational or promotional materials? (There is no
cost.)
Yes: _____ No: ______
In consideration of being able to participate in any way with Howards Grove Activity Center, related events, or activities the
participant/guardian must read and sign.
Participant/guardian releases, waives, or discharges any right to take legal action against Howards Grove Activity Center or Hiebing
Inc., volunteers, staff, sponsors, advertiser, and lessor premises used to conduct the class, or event. This includes any and all liability
to participant that causes injury, death, and or damage to property. We are not responsible for lost or stolen items. You as the guardian
releases any rights to seek damages, or replacement cost.
Signature: ________________________________ Date: _________
Office use only:
Paid: ______________ Cash: _____ Check #:__________