Registration - Little Roots Forest School

Little Roots Forest School Enrollment

Welcome to Little Roots! Please fill out this form to enroll your family. One form per family, please. Questions? Email us at hello@littleroots.school with any questions.
Caregiver 1 Full Name

First NameLast Name
Caregiver Information

Tell us about yourself. This information helps us reach you.
Caregiver 2 Full Name

First NameLast Name
Caregiver Email
example@example.com
Caregiver 1 Phone
Please enter the best phone number to reach you at. Format: (000) 000-0000.
Caregiver 2 Phone
Please enter the best phone number to reach you at. Format: (000) 000-0000.
Home/Mailing Address

Street Address

Street Address Line 2
CityStatePostal / Zip Code
Your Little Roots

Tell us about your little ones! One form per family. You can enroll up to 3 children here.
How many children ages 1 to 3 are you enrolling?
Child 1
Child 1 Full Name

First NameLast Name
Child 1 Date of Birth

MonthDayYear
Child 1 Age
Will any siblings be joining you?
We love having the whole family. Babies in carriers are always welcome at no extra cost. Older siblings are welcome to come along, and the activities and materials are set up for enrolled children. If you’d like an older sibling to join in as a participant, we’ll reach out to talk about whether it’s a good fit.
If a sibling is joining, what’s their name and age?
This helps us plan and support everyone in the forest.
Child 1 Allergies, medical conditions, or special needs
This information helps us keep your child safe. We keep a printed copy in a waterproof binder at every session.
Child 1 Severe allergy medication
Per our waiver, families with children who have severe allergies must carry their own medication and inform staff of its location at every session.
Child 2
Child 2 Full Name

First NameLast Name
Child 2 Date of Birth

MonthDayYear
Child 2 Age
Child 2 Allergies, medical conditions, or special needs
This information helps us keep your child safe. We keep a printed copy in a waterproof binder at every session.
Child 2 Severe allergy medication
Per our waiver, families with children who have severe allergies must carry their own medication and inform staff of its location at every session.
Anything else that would help us support Child 2?
Optional, but helpful! For example: ‘She’s working on potty training,’ ‘He’s shy at first but warms up quickly,’ ‘She’s scared of dogs.’
Child 3
Child 3 Full Name

First NameLast Name
Child 3 Date of Birth

MonthDayYear
Child 3 Age
Child 3 Allergies, medical conditions, or special needs
This information helps us keep your child safe. We keep a printed copy in a waterproof binder at every session.
Child 3 Severe allergy medication
Per our waiver, families with children who have severe allergies must carry their own medication and inform staff of its location at every session.
Anything else that would help us support Child 3?
Optional, but helpful! For example: ‘She’s working on potty training,’ ‘He’s shy at first but warms up quickly,’ ‘She’s scared of dogs.’
Anything else that would help us support Child 1?
Optional, but helpful! For example: ‘She’s working on potty training,’ ‘He’s shy at first but warms up quickly,’ ‘She’s scared of dogs.’
Is anyone else tagging along?
Their name(s) and age(s)
Emergency Contact and Caregiver Details
Emergency Contact Name
Someone other than the registering parent/guardian who we can reach in an emergency.
Emergency Contact Relationship to Your Child or Children
Emergency Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Authorized Alternate Caregiver Name(s)
List the full name of anyone else who may bring your child (e.g., grandparent, nanny). Leave blank if only you will attend. All caregivers must read the Family Handbook before attending.
Photo Permission and Enrollment
Photo Permission
We photograph sessions for our website and social media (@littleroots.school). We never share images of children’s faces. Photos show only hands, activities, nature finds, and children from behind.
Enrollment Option
Siblings are $49 a month each, or $109 each for the Winter term pass. Choosing the Winter pass? After you submit, head back to the Register page to pay.
Referral and Discovery
Were you referred by a current Little Roots family?
If yes, tell us their name! They’ll get $25 off their next month.
How did you hear about us?
If you selected “Other,” tell us more!
Acknowledgements and Policies

Almost done! Please review and check each box.
Please check each box to agree
Acknowledgement
Acknowledgement
Acknowledgement
Acknowledgement
Acknowledgement
Should be Empty:

Little Roots Forest School Enrollment

Caregiver Information

Your Little Roots

Child 1

Child 2

Child 3

Emergency Contact and Caregiver Details

Photo Permission and Enrollment

Referral and Discovery

Acknowledgements and Policies