Summer PLAYcamp (february)

2021 Back to Nature

Summer PLAYcamp
WHY NATURE?

Human beings are born with a genetic predisposition to be in direct contact with nature; The first years of a child's life are the most important since it is the period in which they will learn skills and attitudes that will become the basis of their personality for a lifetime, which is why their experiences during this training period will determine their way of facing the world, the level of self-confidence, how to interact with others, as well as their ability to understand and manage their own emotions while being part of a community.
Parent Full Name *

First Name Last Name
Email *
example@example.com
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number *

Area Code Phone Number

Child 1 *

First Name Last Name
Age *
DOB *
MM/DD/YYYY
Mark the program of your interest:

Mommy & Me Forest Kindergarten (Waiting List)
Mommy & Me Options (June 7th to 25th, twice a week):

Oleta State Park (Mornings, Tuesdays & Thursdays) Oleta State Park (Mornings, Wednesdays & Fridays) Farm & Enchanted (Monday morning & Wednesday Afternoon) Earth N' Us Farm Afternoons (Waiting List)
Mark the location of your preference:

Earth N Us Farm Oleta River State Park
Forest Kindergarten - According to the age of your child:

Squirrels PLAYcamp (Waiting List) Bobcats PLAYcamp (Waiting List)
Mark the location of your preference:

Earth N' Us Farm (Waiting List) Oleta State Park (Waiting List)
Indicate the session to which you are registering your child:

Session 1 (Waiting List for all venues) Session 2 (Waiting List for all venues)
Are you interested in registering another child?

Yes No
Child 2

First Name Last Name
Age
DOB
MM/DD/YYYY
Mark the program of your interest

Mommy & Me Forest Kindergarten
Mommy & Me Options (June 7th to 25th, twice a week):

Oleta State Park (Mornings, Tuesdays & Thursdays) Oleta State Park (Mornings, Wednesdays & Fridays) Farm & Enchanted (Monday morning & Wednesday Afternoon) Earth N' Us Farm Afternoons (Waiting List)
Mark the location of your preference:

Earth N' Us Farm Oleta State Park
Forest Kindergarten - According to the age of your child:

Squirrels PLAYcamp (Waiting List) Bobcats PLAYcamp (Waiting List)
Mark the location of your preference:

Earth N' Us Farm (Waiting List) Oleta State Park (Waiting List)
Indicate the session to which you are registering your child:

Session 1 (Waiting list for all venues) Session 2 (Waiting List for all venues)
Does your child has allergies?

Yes No
Please detail the type of allergies
Best way to contact you: *

Email Text Whatsapp Phone call
Where did you heard about us?:

I am part of the year long program A Relative is part of the year long program A friend recommendation A friend who is in the program CNN Interview At the Playground At a Fair Instagram Facebook Online Search
Check the payment option that you will be using to send the first part of the total investment: *

Zelle to 786. 499. 2939 Venmo to @MiamiNaturePLAYschool Send me a Paypal Invoice
I understand that having completed this form represents my interest in the participation of my child (ren) in the program, but the spot will not reserved until sending the fist part of the investment.
Signature

Clear
Should be Empty:

Now create your own JotForm - It's free! Create your own JotForm