MindfulNest Preschool Registration Form

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Peaceful Heart Preschool's virtual / hybrid preschool class for the 2020-21 school year

See all the details at www.peacefulheartpreschool.com/mindfulnest

Which program are you interested in?

Original virtual MindfulNest program that is mostly "no contact". Two weekly online meetings and & two monthly activity/material deliveries

MindfulNest "mini-preschool" option ONLY (in-person, 2 hour, weekly, outdoor class)

MindulNest "mini-preschool" 2 hour weekly outdoor class AND the online classes, with deliveries

Child's name *

Child's age as of September 2020 *

Child's date of birth *

YYYY

Second child's name

Second child's age as of September 2020

Second child's date of birth

YYYY

Parent(s) / Caregiver that is the main contact and/or will be attending the class and doing the lessons with the child(ren) (for the online options) *

Best email address for contact *

Best phone number for contact *

Your address (where you would have materials delivered)

Tell us a little about you and your child, and why you are interested in this program! *

What experience has your child had with preschool thus far? *

What can you tell us about your child to help us create and prepare? Interests? Strengths? Struggles? *

Does your child have any siblings? What are their names and ages? *

If you are choosing the online classes, has your child done many online classes? How does he/she feel about it?

Have you or your child done any yoga before? *

Tell us about your interest in learning about yoga, mindfulness, and early childhood education as it pertains to your child? *

How much time do you think you will have each week to participate in this program with your child?

Do you have any questions or comments?

Submit

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