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Chrysalis Forest School – Summer 2024 Application
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* Indicates required question
Parent/Guardian Name
*
Your answer
Email
*
Your answer
Phone number
*
Your answer
Child’s name
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Your answer
Child date of birth
*
MM
/
DD
/
YYYY
Child’s pronouns
*
She/her
He/him
They/them
Other:
What days and times would you like to apply to?
Check all that apply.
Morning (9:00am – 12:00pm)
Afternoon (12:30pm – 3:30pm)
Monday
Tuesday
Wednesday
Thursday
Friday
Morning (9:00am – 12:00pm)
Afternoon (12:30pm – 3:30pm)
Monday
Tuesday
Wednesday
Thursday
Friday
What are your child’s interests?
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Your answer
What helps your child when they feel disappointed or upset?
*
Your answer
Who are some important people in your child’s life?
*
Your answer
Who lives with your child (siblings, grandparents, roommates, pets, etc.)?
*
Your answer
Any allergies or medical history we should know about?
*
Your answer
Would you like to apply for financial aid?
*
Your answer
Is there anything else we should know to better support your child?
*
Your answer
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