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TRAILBLAZER'S Summer 2025 Enrollment Form 
Dates: Wednesday - Friday
#1 - June 25-26-27
#2 - July 9-10-11
#3 - July 23-24-25
#4 - August 6-7-8
Event Timing: 9a-4p
Base Camp: 303 Naples Rd. (#35), Harrison, Maine
Contact us at (207) 615-9398 or MissMaplesNatureHouse@gmail.com

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Email *
Child's Name
TRAILBLAZERS Summer 2025 Description

Kids will learn new skills, practice hiking etiquette and bushcraft, make new friends, gain self-confidence, connect and respect the natural world. :))  This is an all-outdoor program. Snacks, supplies, and field trip transportation provided. Kids will wear layered outerwear and shoes with good traction (Think Keen, Teva. Avoid crocs or sneakers). Enrolled families will receive a Welcome email with more details on their chosen program and gear needs. Thank you!!

Which Session(s) are you interested in?
Parent's Name(s) and Physical Address (incl mailing if different)


*
Your child's birthdate *
MM
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DD
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YYYY
Does your child have a unique skill or talent that would be relevant to outdoor activities?

*
Child's dietary restrictions or known allergies


*
Does your child have any physical, emotional, or social challenges, or fears? (ADD, anxiety, making friends, needy, disability, ignoring directions, disrespectful to parents, etc.) *
Please indicate your child's experience level with ....  *
none, or with much difficulty
once in awhile, some difficulty
medium , weekly
very experienced
Socializing, getting along with others.
Being outdoors/in the woods
Walking/hiking
Handling risky tools (knives, saw)
Please explain anything else I should know about your child, or why you think your child will enjoy this program. *
Please explain what you, as the parent, hope to have your child learn, experience, or realize by being in our Trail Blazer program.  *
I understand that each 3-day session is $150 and that a deposit of $100 is due 30 days in advance to hold a slot. Payment in full is expected prior to start of Session. Sorry, no refunds within 14 days of start date. Payment is via cash, check, CashApp or Venmo. *
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A copy of your responses will be emailed to the address you provided.
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