Siskiyou Root Creative Learning Cohort Application

 

Where 420 acres becomes your classroom and learning comes alive outdoors!

Join our innovative microschool designed specifically for 9-11 year olds, where core academic subjects blend seamlessly with place-based learning and global studies. Our students will develop deep connections to their natural environment while building strong academic foundations through hands-on exploration and discovery.

This immersive program includes 2-3 overnight field trips throughout the year, providing extended opportunities for outdoor education and community building. Students will need appropriate all-weather outdoor gear and a spirit of adventure! A detailed supply list and weather-appropriate gear requirements will be provided upon registration.

What makes us unique: 

• Expansive 420-acre outdoor classroom setting
• Small cohort size for personalized attention
• Integration of traditional academics with nature-based learning *Covering 4th-6th grade Social Studies, Language Arts and Science curriculum aligned with State Standards.
• Place-based curriculum that connects local ecology to global concepts
• Year-long program building lasting friendships and deep learning

The details:

• Ages: 9-11 
• Date(s):  Every Tuesday and Wednesday during the school year from September 16 through June 3, 2025
• Break Schedule:
  • Thanksgiving: Nov 25-26
  • Winter Break: December 23 - January 7 (Classes resume on Jan 13)
  • Spring Break: Week of March 24
• Time: 10:00 am - 3:00 pm
• Location: Pacifica: A Garden in the Siskiyous, 14615 Water Gap Rd, Williams, OR 97544
• Instructor: Corbin Brashear
• Tuition: $2,970 total ($45 per class) plus $87 online transaction fee. This program requires a full school year commitment with a $52 non-refundable deposit to secure your spot.
  • You are welcome to pay the full tuition upon signing up or pay the deposit now and the rest later. The deposit will be applied to your tuition rate. 

DISCLAIMER: Due to the nature of our programs, which may involve various physical activities and an increased level of risk, we may face challenges in supporting certain students. While we are committed to providing a safe and enriching experience for all students, the level of supervision and individualized support required for children with specific physical, behavioral, or emotional needs may exceed our current staffing capacity. We encourage families to email Corbin at wildandwoolyfeltworks@gmail.com to discuss their child’s needs with us in advance so we can assess whether this program is a suitable fit.

Please note that we reserve the right to unenroll a student if their behavioral challenges or supervision needs disrupt the class or exceed what our staff can reasonably provide. In such cases, parents or guardians will be required to withdraw their child from the program.

Make sure you have submitted your pre-approval to REACH from this program. Once Pacifica receives confirmation from REACH, we will invoice REACH and it guarantees your spot.

USE COUPON CODE: REACH100 at payment to register your kid(s).

The parent or guardian completing this form will automatically be the first emergency contact. If you are not available, please list two additional contacts that we can call in case of an emergency. 

Please notify this emergency contact of your child/dependent's PALS dates and that they are listed as an additional emergency contact.

Please provide any health information needed to maintain the health and safety of your child during their time at Pacifica. Health information shared will remain confidential. Especially note any health, emotional, or physical problems.

For the relief of minor health problems that might temporarily affect your child’s comfort while at Pacifica, there is a small supply of common over-the-counter medications at the site. Do not send these medications with your student.

THE HEALTH HISTORY FORM IS CHECKED FOR ALLERGIES BEFORE ANY MEDICATION IS GIVEN.

Medications available at Pacifica are:

• Alcohol Wipes Aloe Vera gel – burns/sunburns
• Antibiotic Cream/Ointment
• Anti-diarrheal (Loperamide)
• Antihistamines (Benadryl, Chlor-Trimeton, Loratadine)
• Calcium Carbonate for indigestion (Tums)
• Cream for athlete’s foot or ringworm (Lotrimin or Tinactin)
• Cream for Chapped Skin Cream for itching (Hydrocortisone, Benadryl, Calamine lotion)
• Cough Drops Glucose for diabetic emergency
• Eye Drops
• Insect repellent Lotion
• Milk of Magnesia Non-aspirin pain/fever relievers (Tylenol and Advil)
• Soap for poison oak (Tecnu)
• Sunscreen

NOTE: Brand names have been listed but their generic equivalent or the same medication of a different brand may be substituted. We do not stock chewable or liquid pain relievers.

Select whether or not you would like your child to be able to receive over-the-counter (OTC) medication if needed. If this list contains medication you do not want your child to receive, please select the third option "some" and then explain your reasons below.

DISCLAIMER & PARTICIPATION AGREEMENT

By enrolling your child in our programs, you acknowledge and agree to the following terms:

Our programs may involve physical activities and an increased level of risk. While we strive to create a safe and enriching environment for all students, our staffing and resources may not allow for the level of supervision and individualized support required by some children with specific behavioral, physical, or emotional needs.

By proceeding with enrollment, you understand and agree that:

• If your child’s behavior is consistently disruptive to the class, or
• If their need for supervision exceeds what our staff can reasonably provide,

We reserve the right to cancel their enrollment, and you will be required to withdraw your child from the program.

These measures are in place to ensure a safe and supportive experience for all students.

Photographs and videos could be taken of kids and activities. This media may be used in advertisements or social media posts to showcase the fun activities that Pacifica has to offer! Please read and fill out the media release below.

Personally identifiable information, including a student’s photograph, participation in program activities, video appearances, and receipt of awards, may be occasionally used or released to promote Pacifica programs. Use or release may include a child’s name, picture, and/or video appearing in Pacifica promotional materials prepared for the purpose of informing the community about the Pacifica events. Pacifica materials may discuss some aspect of our programs or may request the donation of tools, games or other materials from community citizens. Use or release also includes our website, news stories in print, social media or television media.

Use or release will NOT include a child's name without additional permission granted by the parent.

ACCEPTANCE of RISK and RESPONSIBILITY

I am aware that this event or activity may entail risk of injury to myself or my dependent, to spectators and to third parties.  I expressly agree, covenant and promise to accept and assume all responsibility and risk or any damage to myself, my dependents, or my property arising from our participation in activities at Pacifica.  I decide to participate in and/or allow my child/dependent to participate in these activities in spite of the stated risks.

RELEASE and DISCHARGE of LIABILITY

I, the undersigned, hereby acknowledge that I have read the assumption of risk statement and fully understand there may be certain elements of risk inherent in outdoor or indoor activities which are beyond the control of the instructors, staff, agents, officers, and employees of Pacifica. 

In consideration of Pacifica furnishing services to enable myself or my dependent to participate, I hereby assume all risk to myself or my dependent or damage to property arising out of participation in this activity, including hazards associated with any defect in a manufacturer’s product.  I hereby specifically and voluntarily release Pacifica from any and all liability, including negligence (active or passive), demands or actions as to any right of action or claim to relief which may accrue to me as a result of participation in outdoor and indoor activities.

I further agree, promise and covenant to hold harmless and indemnify Pacifica from all litigation costs, including attorney fees, or from any costs incurred in connection with claims for bodily injury or property damage which I may negligently or intentionally cause to spectators or third parties in the course of my participation.

I further understand Pacifica carries no medical insurance for the protection of participants in outdoor recreation activities and any insurance coverage existing with respect to Pacifica shall not alter the terms of this waiver nor impose any liability on Pacifica.

ACKNOWLEDGEMENT of EFFECT of RELEASE

I understand and acknowledge that by signing this release I have agreed not to assert legal claims, which I might otherwise possibly assert to maintain against Pacifica, based on my or my dependent’s participation in an activity. I also understand and acknowledge that by signing this release I assume full responsibility and legal liability for the claims or other legal demands, including litigation costs, which may be asserted by spectators or other third parties against me as a result of my or my dependent’s participation.

I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS.  

I AM AWARE THIS A RELEASE OF LIABILITY AND I SIGN IT OF MY OWN FREE WILL.

Payment and Refund Policy:

A non-refundable deposit at time of registration is required. Should Pacifica cancel the event, all participants will receive a full refund or credit toward future classes.

 

IMPORTANT: You will receive at invoice before each semester to pay for this class. Failure to pay in a timely manner may result in your child not being able to attend this class. We will send this invoice to the email provided above.