Wild Hearts Summer Camp Admissions Application

ADMISSIONS APPLICATION

to be completed prior to enrollment
Child's Name*

First NameLast Name
Child's DOB*

MonthDayYear
Date
Parent/Guardian 1 Name*

First NameLast Name
Parent/Guardian 2 Name (if applicable)

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Preferred Household EMAIL ADDRESS:*
Preferred Phone Number*

Area CodePhone Number
ELIGIBILITY REQUIREMENTS

The following conditions are required in order to be eligible for enrollment in summer camp (based on the child's age/group placement)
my child is (or will be by the start of camp) using the toilet independently or has a support aide to assist with this skill until mastery is achieved *required for ages 3+ (for preschool and school-age camps)my child is (or will be by the start of camp) confidently walking or has a support aide/assistive device to ensure accessibility and safety *required for all agesmy child is developmentally capable of remaining with an assigned group of peers/teachers for the entirety of the day in an area that is not secured by a fence, or has a support aide to ensure safety *required for ages 3+ (for preschool and school-age camps); if your child struggles with elopement please contact us prior to applying
Please select the term during which you would like your child to attend
Enrollment Term Selction*
Hours of Attendance Selection
Enrollment Priorities (please select all that apply; priority is given to applicants in the order listed here)

This child is the sibling of a currently enrolled studentI am interested in enrollment for 5 days/wk for the full summerMy child has previously attended camp, school or another Garden programOur family has visited the schoolI am interested in monthly enrollment for 5 days/wk
I have carefully reviewed the admissions information available at www.thegardenschools.com, including the Community Handbook and agree to all policies, terms and conditions provided within.*

Powered by Jotform SignClear
Application Fee*
prevnext( X )
Application Fee$50.00
A non-refundable application fee is required to proceed.

Total $0.00

Payment Methods

Debit or Credit Card

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

Should be Empty:

ADMISSIONS APPLICATION

ELIGIBILITY REQUIREMENTS