WONDERful Explorers Fairview Registration Form

Come adventure with us!

Intentional and child led, open ended play in the wild outdoors.
WHO: Children ages 1-5 and now after school for ages 6-10

WHAT: Outdoor child led exploration!

WHEN:

| 2025 WInter Season |

➡️Preschool | Wednesday December 3, 10-11am

➡️Explorers After School! Ages 7-10 | Spring dates TBD

WHERE: Bowie Nature Park

Questions? Contact Tatiana Liston @ 214-986-5843

👍🏽 Follow us on Facebook and Instagram:

@wonderful_explorers
I’m interested in:

Wednesdays 10am Preschoolers, Winter Season, Winter Wonderland December 3-17th
Child Information
Explorer’s Name*

First NameLast Name
Birth Date*

MonthDayYear
Gender

MaleFemale
Explorer’s Name (2)

First NameLast Name
Birth Date

MonthDayYear
Gender

MaleFemale
What school does your child attend?
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Information
Name*

First NameLast Name
Cell Number*
E-mail*
example@example.com
Relationship
How did you hear about us?
Does your child have any allergies, chronic illness, or medical conditions? If yes, please describe.
Informed Consent and Acknowledgement

I hereby give my approval for my child’s participation in any and all activities prepared by WONDERful Explorers during the selected camp. In exchange for the acceptance of said child’s candidacy by WONDERful Explorers, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless WONDERful Explorers and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected outdoor sessions.

In case of injury to said child, I hereby waive all claims against WONDERful Explorers including all guides and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all outdoor activities. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.

WONDERful Explorers has my permission to use my or my child's photograph publically to promote our class. I understand that the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use.
Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
I agree to the above Consent and Acknowledgment*

YesNo
Date*

MonthDayYear
Date
Payment: Once registration is complete you will receive a text to submit your payment via Venmo

Referral Discount : Refer a friend who enrolls and you both receive $10 off one six week season Explorer registration

Registration fees are 100% refundable up to one week before the start of the season. Due to materials being purchased in advance for the class no refund can be given once the season begins.
- Winter class December 3-17th, $55 per Explorer
- Spring Dates TBD, $100 per Explorer
All weekly announcements and class pictures are posted to our Facebook page and private messenger group. Click the link to join along!

Facebook Group Link

Instagram Page
Should be Empty:

Come adventure with us!

Child Information

Payment: Once registration is complete you will receive a text to submit your payment via Venmo