KIND Registration Form (Slides)

1
Student Name* This field is required.
First Name
Last Name
2
Student Birthdate* This field is required.
Date
Year
Month
Day
3
Grade in 2025-2026* This field is required.
1st Grade
2nd Grade
4
School Type* This field is required.
Public
Private
Homeschool
Other
5
Current School Name (if applicable)
6
Preferred Pronouns
7
Primary Contact Name* This field is required.
First Name
Last Name
8
Relationship to Child* This field is required.
9
Email* This field is required.
example@example.com
10
Phone Number* This field is required.
Please enter a valid phone number.
11
Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
12
Secondary Contact Name
First Name
Last Name
13
Relationship to Child
14
Email
example@example.com
15
Phone Number
Please enter a valid phone number.
16
Address (if different)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
17
Emergency Contact Name
First Name
Last Name
18
Relationship to Child
19
Phone Number
Please enter a valid phone number.
20
Email
example@example.com
21
What draws you to KIND, and what do you hope your child gains from this one-day-a-week nature program?* This field is required.
22
How does your child respond to outdoor learning or being outside for long stretches in all types of weather?* This field is required.
23
Does your child currently have any IEPs, 504 plans, or regular supports in place (at school or home) that help them feel safe and successful? If yes, please describe.* This field is required.
24
What are your child’s current strengths, interests, or favorite ways to learn and play?* This field is required.
25
Are there any challenges, sensory needs, or behaviors we should be aware of in order to support your child well during transitions, group learning, or outdoor time?* This field is required.
26
Please list any allergies, medications, or physical/emotional health needs (including provider contact info if relevant):* This field is required.
Huge
Large
Normal
Small
Ok
Ok
27
We are committed to making KIND accessible while sustaining the real cost of a high-quality, one-day-a-week outdoor program. Please select the tier that best reflects your family’s current financial circumstances:* This field is required.
Tier 1: Supported – $2,275 For families who need financial support in order to participate. This tier is made possible by community contributions and families paying above the true cost.
Tier 2: Sustaining – $3,250 This is the true cost of the program. Choosing this tier helps cover all direct expenses, including educator pay, site fees, materials, and coordination.
Tier 3: Community Builder – $3,750+ For families able to contribute beyond the true cost. This tier helps fund scholarships, ensure equity, and sustain KIND’s long-term mission.
28
Tuition may be paid in full at the start of the year or in 9 monthly installments (September through May).

A $250 deposit is required to hold your child’s spot; this will be applied toward your total tuition balance.
29
Would you like to make an additional monthly contribution to help expand access for other families?* This field is required.
$25/month
$50/month
Not at this time
Other
30
I understand this is a year-long commitment. If my family withdraws mid-year, I will remain responsible for the full tuition unless a replacement is found.* This field is required.
YESNO
31
I understand that KIND is an all-weather outdoor program. I agree to send my child in appropriate clothing each week.* This field is required.
YESNO
32
I understand that KIND is an all-weather outdoor program. I agree to send my child in appropriate clothing each week.* This field is required.
YESNO
33
I confirm that my child is physically and emotionally able to participate in outdoor learning and group activities.* This field is required.
YESNO
34
Signature
Powered by Jotform SignClear
35
Submitting this form is not a confirmation of enrollment in the KIND program. Our team may reach out with additional questions to ensure the best possible fit and support for your child.

We will begin notifying families of enrollment decisions for the 2025–2026 KIND program the week of July 28th. Thank you for your interest—we're grateful for your commitment to outdoor, place-based learning!
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KIND Registration Form

Tuition may be paid in full at the start of the year or in 9 monthly installments (September through May).

A $250 deposit is required to hold your child’s spot; this will be applied toward your total tuition balance.

Submitting this form is not a confirmation of enrollment in the KIND program. Our team may reach out with additional questions to ensure the best possible fit and support for your child.

We will begin notifying families of enrollment decisions for the 2025–2026 KIND program the week of July 28th. Thank you for your interest—we're grateful for your commitment to outdoor, place-based learning!