PreK After School Nature Club Registration Form

Nature Club

Please complete the form below to register your child for Nature Club at Wild Hearts on LINDEN RD IN PINEHURST from 1-3PM on the days you select below.
Child's Name*

First NameLast Name
Child's DOB

MonthDayYear
Date
Parent/Guardian Full Name*
Preferred Email Address*
example@example.com
Choose which days of the week you would like the child to attend (please note tuition will be prorated based on days of attendance):

Mondays + Fridays: French + Creative Movement (Mon), Yoga (Fri)Tuesdays: Sports + ScienceWednesdays: Forest Free PlayThursdays: Woodland Art + Outdoor TheatreFull Week
Choose the enrollment term:

Fall 2024(September - December; tuition prorated for 4 months)Spring 2025 (January- May; tuition prorated for 5 months)Full School Year (September - May)
Requested Start Date (please note we will do our best to process your enrollment by the requested date, however, it can take 3-7 days to fully complete the enrollment requirements):

MonthDayYear
Date
I would like to pay tuition

Monthly (+ one-time $55 monthly payment processing fee) with an automatic bank draftMonthly(+ one-time $55 monthly payment processing fee) with a credit card (+3% cc processing fee)In Full with automatic bank draftIn Full with credit card (+3% cc processing fee)
Are there any specific considerations or needs for this child? We will do our best to accommodate.

My Products

Nature Club Registration FeePlease submit payment to proceed with registration.

$100.00

Enter coupon

Total

$0.00

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.