Your place in a program is not reserved until payment is processed. The submission of this form acts as a request to join one or more programs, not a reservation.

Once Lauritzen Gardens has reviewed your request, you will be contacted over the phone to process payment. If you do not receive a phone call within three business days of the request submission, please call 402-346-4002 ext. 263.

Payment for all programs included in the request must be processed within two weeks of the submission of the request. If the request occurs within one week of the date of the program, payment must be completed before you will be officially registered.

* 1. ----PARTICIPANT'S CONTACT INFORMATION----

Important:
If you are interested in requesting registration for multiple adults, please fill out one form for each adult.

Are you filling out the form and paying for the participant?
If you are filling out this form to request registration for someone other than yourself, and you will be paying for that person, please let us know who to contact for payment in the "Comments or Questions" section at the bottom of this form.

* 2. ---EMAIL ADDRESS---

Enter the address or addresses where you would prefer that the receipt be sent. Please separate multiple addresses with a semicolon.

* 3. ----PLEASE SELECT ONE OF THE FOLLOWING----

If you are a garden member, volunteer or staff person, that information will be verified before processing payment.

* 5. ----STAY UP-TO-DATE----

Are you interested in receiving emails about other fun adult educational opportunities?

If you have selected "Yes" during a previous registration request, please select "Yes" again to remain in the system.

* 6. ----HOW DID YOU HEAR ABOUT THIS PROGRAM----

* 7. ----COMMENTS OR QUESTIONS----

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