Growing Roots Forest Play
This form is for ALL Growing Roots programs. Please select your program carefully below.
Email address *
We are so excited to provide a local option for your child's nature based play and learning experience. This registration form is for ALL Growing Roots programs: Wednesdays in the Woods, Bush Buds and Forest Explorers. Please only select ONE option unless you plan on registering for more than one. Please see www.growingrootskids.ca for more program information. *
Required
Child Participant Name (First & Last) *
Your answer
Date of Birth *
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Parent(s) Name (First & Last) *
Your answer
Phone Number *
Your answer
Address *
Your answer
Email *
Your answer
Emergency Contact *
Name, Relationship, Phone Number
Your answer
Your child will only be released to an authorized person listed on this form (parent/guardian and/or emergency contact). In case of an emergency or an unforeseen circumstance, please indicate the name, address and phone number of any other person/s who you authorize to pick up your child on your behalf.
Your answer
Child's Needs
Please advise on any medical or behavioural needs of your child as pertaining to the program.
Your answer
Allergies
Please advise on any allergies you or your child has, as pertaining to the program.
Your answer
Permission to Photograph *
I give Growing Roots Forest Play permission to take photographs of my child or adult participant during program activities. I am aware that these photos may be used for promotional purposes, including but not limited to Facebook, Instagram, website and print.
Required
Waiver-Please check off all of the boxes to show that you agree with the statement *
Required
Waiver Signature *
Please type name and date
Your answer
Let us get to know your child!
Please take the time to fill out the following quesitons in order for us to better know your child.
What do you love best about your child’s personality and who they are?
Your answer
What are your child's favourite ways to spend their time outdoors?
Your answer
How comfortable is your child with the outdoors?
Your answer
How do you think your child will benefit from Forest Play School?
Your answer
What will be the most challenging parts of Forest Play School for your child?
Your answer
Do you have any concerns or fears about Forest Play School?
Your answer
Is there anything more we should know about your child before school begins?
Your answer
How did you hear about the Growing Roots Forest Play Program
Payment
Payment is due within 24hrs of receiving the enrollment confirmation email. This email will be sent to you within 3-5 business days of receiving your registration. Please submit payment of fees via e-transfer to info@growingrootskids.ca (please make the password 'growingroots' if promptet) or by cheque to secure your spot.
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