Moon Sisters
3
*I understand that Wild Wisdom Nature’s Education reserves the right to refuse or dismiss a student for just and reasonable cause. I understand that no refund will be issued in this case for that gathering, and that I will be asked to pick up my child. Please add your initials.
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If you filled out this information form a previous event we will still need you to fill it out again. For those who are signing up more than one child you will need you to register each of them separately.
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Both Guardians first and last names *
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Your Child's First and Last Name *
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Both Gaurdian's Contact Email Address *
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Facebook name
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Age of your child *
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Mother's phone number
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What group is your child in Moon Beams, Pixies, Maidens or summer camp?
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If you are attending the MODA camp please let us know if you or your child has any food allergies or concerns we need to know about.
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What school does your child attend? *
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How did you hear about this? *
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How will you be making payment
Are there any other things we should know about your child?
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What physical level is your child in? Ex: highly athletic, some what active, more the type to sit and stay focused for long periods of time.
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What experiences does your child have being outdoors? Ex: do they camp a lot, go hiking, know the local plants and animals, play outside often?
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Why is it important as a parent for your child to attend a program like ours?
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How involved would you like to be in this program?
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Do you have any skills that might be useful to our program which you would like to offer?
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What passions/interest do you notice about your child?
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Not all families can afford to come to Wild Wisdom, so if your feeling generous and want to sponsor another family just tell us who you would like to sponsor or it can be for an unknown and we will make sure they are notified. Thank you kindly!
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