Wild Hearts Summer Camp Admissions Application

SUMMER CAMP ADMISSIONS APPLICATION

NOW ENROLLING FOR FULL SUMMER | MONTHLY ENROLLMENT WILL OPEN MARCH 1 | WEEKLY ENROLLMENT WILL OPEN MAY 1
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
AGE GROUPING

Please select your child's age group below:
Which camp will your child be placed in based on their age/eligibility?

TOTS CAMP (ages ~18 through 36 mos, must be independently walking or have a support aide or assistive device/equipment to ensure accessibility and safety)PRESCHOOL CAMP (ages ~3 through rising Kindergarten, must be using the toilet independently or have a support aide to assist with this skill until mastery is achieved)SCHOOL-AGE CAMP (ages ~rising 1st through 4th grade, must be using the toilet independently or have a support aide to assist with this skill until mastery is achieved)
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 Year Selection*
Hours of Attendance Selection
Days of Attendance Selection
Please note that 5-day enrollments will be given priority placement. 2 + 3 day applicants will be processed after February 15 if spots remain available.
Enrollment Term

*PLEASE NOTE ENROLLMENT FOR FULL SUMMER SPOTS WILL CONTINUE THROUGH MARCH 1. IF SPOTS REMAIN AT THAT POINT, WE WILL OPEN ENROLLMENT FOR MONTHLY SPOTS. WEEKLY ENROLLMENT WILL ONLY BE AVAILABLE AFTER MAY 1 IF SPOTS STILL REMAIN. USE THE "OTHER" BOX TO REQUEST WEEKLY ENROLLMENT DATES.
Please select your desired enrollment term. Use the "other" box to request weekly enrollment dates.

FULL SUMMER (JUNE 9-AUG 20)SESSION 1: JUNE 9-JULY 8SESSION 2: JULY 9-AUG 1SESSION 3: AUG 4-20Other
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 school
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

Choose from one of the PayPal options to make your payment.

Should be Empty:

SUMMER CAMP ADMISSIONS APPLICATION

AGE GROUPING

ELIGIBILITY REQUIREMENTS

Enrollment Term