Winter Registration 2026

Winter Registration 2026
Wildflowers Forest School

REGISTRATION PACKAGE
Please fill out One registration form Per child.

*Pay with Interac E-Transfer to wildflowersforestschool@gmail.com by Jan. 1st, 2026.

*Fee Assistance and/or monthly payments are an option if needed, please contact Wildflowersforestschool@gmail.com for more information.

*Please contact Wildflowersforestschool@gmail.com for special discount pricing if you have more than one child registered for programs or if your child is registered in more than one program.
Child's Name*

First NameLast Name
Programs/Fees (Please Check Program(s) of Choice) :*
prevnext( X )
Wednesday Wildwoods (5-13yrs) Full Day: 9:00am-3:30pmDrop-off 10 Week Program held at Bechtel Park in Waterloo. Program is outside with 1 hour indoor time at noon. Bring your own nut-free lunch & snack; Start Date: Jan. 7th, 2026
$740.00CAD



Adventurers (4-9yrs) Tuesdays: 11:30pm-2:00pmDrop-off 10 Week Program held at Bechtel Park in Waterloo; Start Date: Jan 6th, 2026
$320.00CAD



Fox & Kits (Parent & Tot Program; 18mths-5yrs) Tuesdays 9:30am-11:00am10 Week Program held at Bechtel Park in Waterloo *Parent/Caregiver must be present during class; Start Date: Jan 6th, 2026
$150.00CAD



Fox & Kits (Parent & Tot Program; 18mths-5yrs) Fridays 9:30am-11:00am10 Week Program held at Bechtel Park in Waterloo *Parent/Caregiver must be present during class; Start Date: Jan 9th, 2026
$150.00CAD



Subtotal

$0.00CAD

Tax

$0.00CAD

Total

$0.00CAD
*Once program is Full the choice will be disabled*

Child's Name*

First NameLast Name
Returning Participant?*

YesNo
Gender:

MaleFemaleOther
Child's Birth Date*

MonthDayYear
Date
Address*

Street Address

CityState / Province

Postal / Zip Code
Parent/Guardian Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Parent/Guardian Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Emergency Contact (Not a parent)*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.

Parent's Agreement
I hereby make application for active participation in the Wildflowers Forest School. I am enclosing a cheque for the 10 week program or making a payment by Interac E-Transfer to wildflowersforestschool@gmail.com.

If it becomes necessary to withdraw my child from the program, I understand that no refund will be provided.

I hereby authorize the Forest School Educator to carry out regular visual health inspections of my child. If found ill, s/he will be isolated (separated from the other children), supervised, and I or the emergency contact will be called to take the child home.

I hereby authorize the Forest School Educator or another responsible adult to obtain emergency medical treatment for my child by qualified personnel if I am unable to be reached.

I will not send my child to school if there is any question of illness. If my child contracts a communicable disease, I will notify the Forest School Educator who will notify Public Health.

I will keep the Forest School Educator informed of any event or change of routine at home, which might affect my child's behaviour.

If I have any questions about my child's progress in the program, I will direct them to the Forest School Educator. I will direct questions or suggestions about administration of the school to the Forest School Owner, Brandy Schell.

In case of injury to my child while in the care, custody or control of the school, I hereby waive all claims against the school in excess of public liability insurance carried by the school.

I understand that, during the program in the forest, the Forest School Educator has overall responsibility for program, teaching methods, discipline, and health and safety measures; if I am volunteering, I am there as an assistant.

I, the undersigned, have read this parent's agreement carefully and agree to follow it to the best of my ability.
Parent's Agreement Signature*

Clear
Date*

MonthDayYear
Date
Participation Consent
I hereby grant consent for my child to fully participate in the program of activities organized by Wildflowers Forest School. I hereby declare that I will not hold the aforementioned Forest School responsible in case of accident.
I hereby grant my consent for emergency medical treatment to be administered to my child, if necessary, for any injury or illness during the Wildflowers Forest School Program.
Participation Consent Signature*

Clear
Date*

MonthDayYear
Date

Participant Release of Liability
Wildflowers Forest School Waiver Form

Organization Name: Wildflowers Forest School

Mailing Address: 30 Watson Cres. Ayr, ON, N0B 1E0

1. Participant Agreement & Waiver:

Description of Risks

I knowingly and freely assume all such risks, both known and unknown, and assume full responsibility for my child’s participation in Wildflowers Forest School. I am aware that there are inherent risks involved with outdoor, nature-based activity and in my child’s participation in any outdoor activity in the outdoor program at Wildflowers Forest School, including my child’s use of any equipment. The risks and hazards of outdoor activity include, but are not limited to:
- Injuries from executing strenuous and demanding physical activities
- Injuries from failing to properly use tools such as carving knives
- Contracting poison ivy or stinging nettle
- The presence of wild animals and possible ticks
- Inclement weather
Furthermore, I am aware:
- That injuries sustained in outdoor activity can be severe and even fatal;
- That all explained rules are designed to enhance safety of my child and others and are to be followed at all times;
- That knife and carving work require special instruction and training from the educator.
2. Release

I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, hereby release, indemnify, and hold harmless Wildflowers Forest School, its officers, agents and/or employees, other participants, sponsors, volunteers, and, if applicable, owners and lessors of premises used to conduct the event (Releasees), from any and all claims, demands, losses, and liability arising out of or related to injury, disability or death I may suffer, or loss or damage to person or property, whether arising from the negligence of the releasees or otherwise, to the fullest extent permitted by law.

3. Health Statement

I will notify Wildflowers Forest School ownership or employees if my child suffers from any medical or health condition that may cause injury to themselves or others; or may require emergency care during my participation.

4. Acknowledgement

I acknowledge that I have read and fully understand this agreement, while accepting the risks involved with my child’s participation in these activities at Wildflowers Forest School.

I have read this release of liability and assumption of risk agreement, fully and understand its terms, and sign it freely and voluntarily without any inducement.
Child's Name*

First NameLast Name
Liability Waiver Parent/Guardian Signature*

Clear
Date*

MonthDayYear
Date

IMAGE RELEASE AGREEMENT
This release is for the use of all participants of Wildflowers Forest School. It will remain in effect from the time of signing until the participant reaches the age of majority - or for adult participants it will remain in effect indefinitely.
In the course of activities, representatives of Wildflowers Forest School, Educators, participants and staff may take photographs or otherwise record events. These photographs and recordings are sometimes used to promote Wildflowers Forest School or displayed on Social Media. Please advise us if you are willing to have your own image and voice and/or your child’s image and voice used for promotional purposes or displayed on Social Media by Wildflowers Forest School, as indicated below:

I, on my own behalf and/or on behalf of my child, give permission to the Wildflowers Forest School to photograph and record me and/or my child’s image and voice on still photographs, motion picture film, audio tape, video tape or digital media and to use this material, and/or similar material provided to Wildflowers Forest School by me or third parties involved in events, in whole or in part, now and in the future, through the media of television, film, internet, multi-media presentation, radio, audiotape, videotape, in printed form and display form for the promotion of Wildflowers Forest School. I, on my own behalf and/or on behalf of my child assign and transfer to Wildflowers Forest School any and all proprietary rights, including copyright, and waive all personality rights, which I may have or my child may have in this material.
Wildflowers Forest School is only responsible for official uses of photographs and recordings. Any personal uses by other participants and volunteers outside of the promotional uses outlined above are not monitored by or the responsibility of Wildflowers Forest School.
I, on my own behalf and/or on behalf of my child:*

Give my permission as set out above for use in public domainsDO NOT give my permission as set out above, for use in public domains
Name of Participant*

First NameLast Name
Name of Parent Guardian*

First NameLast Name
Image Release Signature*

Clear
Date*

MonthDayYear
Date

HEALTH & MEDICAL INFORMATION FORM
Child's Name*

First NameLast Name
Please provide any information regarding:
- Chronic medical problems (e.g. diabetes, asthma, epilepsy, or other diseases)
- Impairments or disabilities (e.g. vision, hearing, speech)
- Routine medications (e.g. Phenobarbital, Ritalin, etc) – please indicate dosage and frequency
- Allergies (e.g. drug, food, insect bites, pets & animals, environmental)
Chronic Medical Problems:
Impairments or Disabilities:
Routine Medications:
Suspected or Confirmed Life-Threatening Allergies:
Should be Empty:

Winter Registration 2026

Wildflowers Forest School

Parent's Agreement

Participation Consent

Participant Release of Liability

IMAGE RELEASE AGREEMENT

HEALTH & MEDICAL INFORMATION FORM