Enrollment

Parent/Guardian Name *

First Name

Last Name

Child #1 Date of Birth *

MM

DD

YYYY

Child #2 Date of Birth

MM

DD

YYYY

Child #3 Date of Birth

MM

DD

YYYY

Benefits of Outdoor Play *

We love that our child will participate in an immersive, outdoor learning program! We encourage our child to explore nature in all seasons and habitats, including in or near water, ice, snow, and mud. We welcome the benefits of children taking risks and encourage messy, active, whole-body play.

Yes

No

Which day(s) are you interested in attending? *

Tuesday

Thursday

Tuesday & Thursday