Wild Willow Nature Preschool Registration
Class starts August 15th or if signed up for 2 day, begins August 16th. Registration fee must be paid when registering. $150 to hold your child's spot. Tuition 1st month payment or full tuition must be paid before classes begin. PayPal link for registration will appear once your form is submitted.

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Email *
Enrollment History *
Is this a sibling or member of a participating family? *
Child's First Name *
Child's Last Name *
Age *
Date of Birth *
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Gender *
Ethnicity *
Choose your program: (this is a full school year program-36 weeks) *
Parent/Guardians  Name First & Last Names *
Primary Phone Number *
Secondary Phone Number *
Mailing Address *
Emergency Contact Name *
Emergency Contact Phone Number *
Name of people authorized to pick-up your child and their relationship to your child *
Phone numbers of people picking up and dropping off other then your phone number *
Does your child have any allergies or health concerns? If so, what are they? *
Has your child ever been stung by a bee? If so what was their reaction? *
Name and Phone Number of Childs Doctor *
What is your plan for if your child is sick? *
 We require your child be potty-trained. Does your child need help in the bathroom with toilet paper duties? *
Does your child have a hard time separating from you, and is this a concern for you? Please state strategies that help you both separate. *
Does your child see, or have they seen, a therapist of any kind (i.e. physical, emotional, cranial, orthopedic, etc.)? If so, what were the reasons for this and how does this affect your child at the current time? We have this question because Wild Willow Nature Preschool is a very small program. Challenges in children's lives become very visible rather quickly in such a small group. Without any information we are limited to how well we can be of support to the child and to the rest of the group. We have experienced hardships from not being informed of such matters. We appreciate your cooperation and willingness in regards to this. Your answer will be kept confidential. *
Do you have any concerns about your child playing in nature? If so, what are they? *
Are you comfortable with your child getting muddy and dirty? (Please NOTE, your child WILL get dirty and your response to this is important regarding whether they feel okay being involved with the play that happens at Nature School.) *
How often does your child spend time in free play in a natural setting beyond the backyard (woods, beach, field, etc.)? *
What do you wish your child to gain from being in Wild Willow Nature Preschool? *
What do you love about your child and his/her personality? *
What do you find challenging about your child and his/her personality? *
Does your child have any siblings? If so, how old are they? *
What is something you would like us to know or think we should know about your child? *
Is there anything else you'd like us to know? Any questions or concerns? *
Open House will be Wednesday, August 10th, 2022     5:30-7:30pm. You and your student will have a chance to meet the teachers and tour the farm and facilities. Please choose if you can attend. *
How did you find out about Wild Willow Nature Preschool? *
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Would it bring you joy to contribute to the Wild Willow Nature Preschool Scholarship Fund? This funds supports a family who wants their child(s) to attend, but cannot afford tuition.
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