Wonder Roots LLC Program Application

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In order to create a balanced community for our weekly Wonder Roots-- TimberNook of Greater Burlington programs, we will NOT be accepting enrollment first come first serve. Please fill out an application for each child who wishes to participate in our programs. We will review your application and contact you as soon as possible.

Please contact us with any questions: wonderrootsllc@colleenchristman.com

Child's First & Last Name *

Child Date of Birth *

YYYY

Participant's Gender

Female

Male

Prefer not to say

Other:

Clear selection

School Name (or indicate "Homeschooled") *

City *

Parent Name *

Parent Email *

Parent Phone *

Programs you are applying for?

Please check all that apply

Tuesday Homeschool Wild Ones (ages 5-11) 9-2:30pm

Wednesday Afterschool Wild Ones (Grades K-5) 2:15-5pm

Other:

Required

Has this child attended one of our previous Wild Ones program? *

Yes

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