Night Visions
Living Tree Farm School Application
* Required
Email address
*
Your email
What is your child's name?
*
Your answer
What grade is your child in?
*
1
2
3
4
5
6
Who will be attending?
*
I will be dropping my child ofo
I will be attending with my child
Please write in how many people will be attending in your family
Required
Pronoun used by child.
she
he
other : please include note at the end of the form clarifying preferred pronoun
Clear selection
What does your child's education look like this year?
*
homeschool
unschool
is registered at a school
Option 4
Other:
Parent / Guardian Full Name
*
Your answer
Parent/ Guardian phone number
*
Your answer
Preferred Contact Method
Text
Email
Phone call
snail mail
Other:
Clear selection
Emergency Contact Full Name
*
Your answer
Emergency contact phone number
*
Your answer
What activities does your child like to do in their spare time?
Your answer
Can your rate your child's comfort with self care/ background or comfort being in the dark in the winter at dusk.
1
2
3
4
5
Clear selection
Is there anything else you would like to tell us?
Your answer
Our 6 week program costs $ 180 a child and $200 for whole family attendance ( this fee only works if a parent is present) Unaccompanied children from the same household attend for $100
*
I can pay full price
I would like to talk to someone about a scholarship
This is a sibling application
Other:
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