Well Wilderness Natureplay 2024-2025 Interest Form

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Please note that if you are considering having your child(ren) participate in our 2024-2025 program, you will need to register on our website & pay your non-refundable registration fee prior to securing your child(ren)'s spot(s) in the program.

Email *

Parent's Name *

Parent's Phone Number *

Please state your child(ren)'s name(s): *

Child(ren) date of birth: *

How many day(s) per week do you plan for your child(ren) to attend? *

1 morning

2 mornings

3 mornings

1 afternoon

2 afternoons

3 afternoons

What day(s) would you prefer your child(ren) attend the program? *

Tuesday

Wednesday

Thursday

Required

Which location do you prefer your child attend? *

Olathe location (Farm Roots)

Eudora location (Forest Roots)

Both locations (if this is an option)

We require a visit to the farm to ensure our program is the best fit for your child. We offer tours every Thursday morning at 9:15am. This tour is intended for you to attend with your child. Let us know one or two days that would work best for your family!

Please note tours are not scheduled until we follow up.

Why do you think Well Wilderness Natureplay program may be a good fit for your child(ren)?

I understand that in order to reserve my child(ren)'s spot(s) in the 2024/2025 program, I will need to register on the website & pay a non-refundable registration fee for each child. *

Yes I understand

Do you have any other questions for us?

Submit

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