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Waiting List Nature School LA Fall Enrollment 2020/2021
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Email
*
Your email
Parent's Name
*
Your answer
Parent's Occupation
*
Your answer
Child's Name
*
Your answer
Child's Birthday
*
Your answer
Location
*
Ernest E. Debs Park
Kenneth Hahn Park
Required
Phone Number
*
Your answer
Address
*
Your answer
Parent's Name 2
Your answer
Parent's Occupation 2
*
Your answer
Phone Number 2
Your answer
Parent 2 email address
Your answer
Dietary restrictions
*
None
Vegetarian
Vegan
Kosher
Gluten-free
Other:
Does your child have ANY allergies? If yes, please describe and provide an EpiPen.
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Your answer
Has your child ever had any physical reactions while being outdoors?
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Your answer
Has your child ever been stung by a bee?
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Your answer
Does your child take any medication regularly?
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Your answer
How does your child deal with conflict?
*
Your answer
How does your child express anger or react to frustration?
*
Your answer
How do you redirect your child's behavior?
*
Your answer
If your child has any health, social or emotional concerns, please share them with us.
*
Your answer
Is there anything else you would like to share with us?
*
Your answer
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