NatureYear Application
2019 - 2020 program year
Family information
Parent name *
Your answer
Parent email address *
Your answer
Parent phone number *
Your answer
Child information
Child name *
Your answer
Child birthdate *
Your answer
How old will your child be as of November 1, 2019? *
Your answer
Child's ethnicity *
Child's gender *
School your child will attend next year (you can update this later if needed) *
Your answer
City/town your child's anticipated school is located in *
Your answer
Is there anything you'd like us to know about your child's individual needs so that we can consider ideal groupings of children and staff? We can discuss details later, but big picture information is helpful initially.
Your answer
Preferred schedule
Please indicate any and all options that could work for your family! Offering specific days of the week is a complex juggle as we seek to balance gender, age, and ethnicity of enrolled children each day as well as consider family schedule needs. Indicating all days that could work for your family is very helpful.
FIRST CHOICE for day of the week would you like to enroll your child in NatureYear (note that drop off is anytime from 8:50 - 9:20 and pick up is 2:50 - 3:00). *
Required
ALTERNATE DAYS (other than your first choice) that could work for your family (note that drop off is anytime from 8:50 - 9:20 and pick up is 2:50 - 3:00). *
Required
If you are applying for siblings, is it important that they attend on the same day? Do you prefer them to attend on different days?
Your answer
Anything else we should know about your preferred schedule?
Your answer
For children who will be age 10 or older in November:
What is your preferred age grouping for your child? We plan to offer a group just for children ages 10 - 13, depending on interest and overall number of applicants.
Preferred age grouping for a child aged 10+
Next steps
We are accepting applications from March 15 - May 15, 2019. Financial aid applications can be completed anytime during the enrollment period. The financial aid form is linked to from the NatureYear website.

If your child will be enrolled in public or private school, you will also need to speak with your child’s school about your child missing school one day per week to attend NatureYear instead. You may do this after a program seat is offered – you do not need to contact your child’s school before you know if we will have an available program spot. Please email rholcombe@commongroundct.org for more information on speaking to your child’s school.

Families will be notified by May 31, 2019 as to whether we can offer your child a seat or whether your child is on a waiting list. Families have until June 14, 2019 to accept or decline the space (this is also the time to confirm school permission). You will be asked to make a deposit of $300 upon accepting an offered program space, and a payment plan with monthly payments from August - April will be set-up for the remaining balance.

Submit
Never submit passwords through Google Forms.
This form was created inside of Common Ground High School. Report Abuse - Terms of Service