Enrollment

Child First Name*

Child Last Name*

Date of Birth*

Gender* Male Female

Is your child fully potty trained?*

Does your child have any Allergies?*

Does your child require medications while at care?*

If you marked other medication, write that medication here

Please describe your child's personality, strengths, issues or areas of concern*

Has your child been in daycare/school outside your home? *

Child's experience with the outdoors*

Choose Seasonal Session/s (all of interest)* All Four Seasons Fall - Spring (Sept - May) Summer Session (June - August) Summer Camp Weeks 3 Hour AM (9 am - 12pm) 4 Hour Day (8:30 am -12:30pm) 4 Hour Day (9am -1 pm) 6 Hour Day (8:30 am -2:30 pm) 7.5 Hour Day (8:30 am - 4 pm) Additional AM Hours (between 7:30 am - 8:30 am) Additional Hours (between 3 pm - 4:30 pm)

What days of the week?*

Child 1: Requested Start Date?*

Add Information for Another Child?

Child 2 information

Child 2 First Name*

Child 2 Last Name*

Child 2 Date of Birth*

Child 2 Gender*

Child 2: Is your child fully potty trained? *

Child 2: Does your child have any Allergies? *

Child 2: Does your child require medications while at care? *

Child 2: If you marked other medication, write that medication here

Child 2: Please describe your child's personality, strengths, issues or areas of concern*

Child 2: Has your child been in daycare/school outside your home? *

Child 2: Child's experience with the outdoors*

Child 2: Choose Seasonal Session/s (all of interest)* All Four Seasons Fall - Spring (Sept - May) Summer Session (June - August) Summer Camp Weeks 3 Hour AM (9 am - 12pm) 4 Hour Day (8:30 am -12:30pm) 4 Hour Day (9am -1 pm) 6 Hour Day (8:30 am -2:30 pm) 7.5 Hour Day (8:30 am - 4 pm) Additional AM Hours (between 7:30 am - 8:30 am) Additional Hours (between 3 pm - 4:30 pm)

Child 2: What days of the week?*

Child 2: Requested Start Date?*

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Tour Registration

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Guardian 1 Information

Registration Information

Child 1 Information

Child 2 information

LittleLiving Nature School