Forest Kindergarten - Afternoon Session
Ages 3 – 5
Monday through Friday
12:15 - 3:15
Tuesday, September 7 - Friday, May 27
 
WOULD YOU LIKE TO PAY IN FULL NOW?
$4,158.00
$5,544.00
$6,930.00

 

*OR*

 

WOULD YOU LIKE TO BE ON OUR PAYMENT PLAN?
$545.74
$727.65
$909.56
Choose A Frequency
You will be charged your first installment payment today.
Remaining installments will be charged monthly beginning Sept 4th,
regardless of the date listed on the receipt that you receive for today's payment.


(5% transaction fee applies to payment plan)
Qty
Description
Amount
Total

$125.00
$125.00
Would you like to Round Up?
Round Up to make a donation and help Learning Outside impact more children!
Total: $125.00
Future Commitment: $0.00
Please select the days you would like your child to attend:
Monday
Tuesday
Wednesday
Thursday
Friday
Registrant Information
A complete and accurate registration provides safety for your child. It is the information we rely on in an emergency.
(At start of session in September)
Parent/Guardian #1/Payer Information
This is the address where your credit card or bank statements are mailed.
A receipt will be e-mailed to this address.
Parent/Guardian #2 Information
Emergency Information
EMERGENCY contact person (if parent/guardian cannot be reached)
BACKUP CONTACT PERSON (in case primary contact cannot be reached):
Medical Contact Information
Health Information
(food, drugs, insects, plants, etc. and guidance on how their allergy is managed/treated or N/A)
(Please include any childhood illnesses. If none, enter N/A)
Does your child, or has your child ever, worked with a Therapist, Early Childhood Specialist or other support person? (Ex: Occupational Therapist, Phsyical Therapist, Speech/Language Therapist, Play Therapist, Family Therapist, Psychologist)
(If not, enter N/A)
Has the participant been hospitalized and/or had any surgeries in the last year?
Does the participant have any chronic medical conditions that require him/her to be under the care of a doctor? (Epilepsy, Asthma, Diabetes, Heart Condition etc.?)
Check here if you are submitting a NC Immunization Exemption Form.
Other Important Information
If so, please share which one, something about the program and how it's going, or if transferring out of it, please share why.
If so, which one, and what are the gifts you hope your child will gain from this other school or program? If not, enter N/A
What is your family's TV, videos (movies, YouTube videos, etc.), videogame, iPad/phone/computer philosophy and how much screen time does your child spend? What kind of shows/movies or games do they watch or play?
Does your child have any social challenges, communication challenges, physical limitations, handicaps, fears or other conditions that Learning Outside staff should be aware of?
If so, have you been able to identify triggers for their anxiety and/or strategies to help them when they are feeling anxious?
(Please note, your child WILL get dirty and your response to this is important to whether they feel ok with being involved in the play that happens at Learning Outside.)

Mask Protocols
Instructors and children will wear masks throughout our day, except when physical distancing can be guaranteed, i.e. during snack. We will include activities and times, during the day, that allow for breaks from masks. We will also build-in child-friendly rituals and supports for children. Families are responsible for providing their child with masks.

To prepare children, parents need to practice mask wearing with them before programs begin. This will ensure that your youngster comes prepared, that mask wearing feels familiar, and that your child can manage their mask independently. There are many different styles of masks available - it is important for parents to determine which style their child can put-on and remove independently.

  • Face masks must cover both the nose and mouth fully.
  • Children must practice, prior to the start of programs, how to independently put their masks on and how to remove them in order to only touch the ear loops or ties.
  • Children must practice not touching their face covering while wearing it.
  • Children must practice not touching their eyes, nose or mouth both while wearing their mask as well as during mask-free times.
  • Children's must sanitize their hands (1) after they remove their face masks, (2) prior to each time they put their face masks back on and again (3) after they put their face mask back on.
  • Children's hands will be sanitized if they touch their faces or face coverings.
  • Children must carry their own supply of sanitizer each day in their trail pack for use when putting and taking off their masks

Learning Outside must protect all families and all instructors. To do so, children must comply with our mask guidelines. In the unlikely event that a child will not comply and does not respond to instructor requests or reminders, parents will be called and the child will need to be picked-up.

Children, parents and/or their designated driver must wear masks throughout drop-off and pick-up, apart from infants and siblings younger than 2-years-old.

I have read and agree to Learning Outside's Mask Protocols for 2021-2022
COVID-19 Waiver
I understand that there are health and safety risks, due to the novel coronavirus which can lead to COVID-19, inherent in having my child participate in Learning Outside's programs. I nevertheless voluntarily assume all risks of illness, loss, damage or injury that may be sustained through my child's participation in programs offered by Learning Outside.

I agree to hold Learning Outside, its Director, Wendy Banning, and all Learning Outside instructors, volunteers and Learning Outside Board Members as well as the Triangle Land Conservancy harmless for any illness or injuries which may occur as a result of my child's participation in Learning Outside's programs.
(child name)
I have read the additional Health & Safety information posted on Learning Outside's website.
Release Statement and Agreement
Release Statement
I hereby attest that all of the information provided above is correct and complete.

In event of injury or illness, I give the Learning Outside Staff and emergency/professional medical personnel permission to provide medical treatment for the participant listed above.
I have read the above and give permission.
Hold Harmless Agreement
Learning Outside offers outdoor learning programs on Triangle Land Conservancy’s Irvin Nature Preserve, 269 acres of pasture, forest and wetlands preserved in perpetuity by the Triangle Land Conservancy in Orange County. Program activities include art, science and other learning activities for both children and adults.

Activities in this program may include, but are not limited to: gardening, farm chores, interaction with goats, chickens and other farm animals as well as cats and/or dogs, drawing, painting, printmaking, other arts and crafts activities, nature crafts, singing, song writing, storytelling, dance, creative drama, puppet making, nature exploration, shelter building from natural materials, fire building, cooking, animal tracking, running games and other strenuous physical activity, archery, walking along the farm driveway to the pond, pond exploration and wading in the pond, hikes in the woods and to the creek, creek exploration and wading in the creek, work with woodworking hand tools and more.

Risks inherent in these activities include, but are not limited to:
  • Exposure to biting insects, ticks, poison ivy, and poisonous snakes
  • Exposure to diseases carried by ticks and other biting insects
  • Walking, hiking, running and playing in hot or otherwise inclement weather
  • Falls from climbing or slipping on pond banks, tree stumps, branches, & uneven terrain or tripping on rocks/stumps
  • Injuries from use of sharp tools for carving, whittling, gardening and/or woodworking, or glue guns and allergic reaction from exposure to paints, paper mâché paste, cement, and other art materials during arts and crafts activities
  • Burns from hot plate, camp fire, or hot food/liquids during cooking activities
  • Drowning or injury while wading or playing in natural bodies of water
  • Accidents on the driveway
  • Risks normally associated with travel in a car driven by staff, hired driver or parent a participant

I authorize Wendy Banning, Director of Learning Outside, as well as all paid and volunteer instructors in whose care my child has been entrusted, to lead the above named child in activities of the type listed above. I understand that there are risks inherent with the activities as well as with transportation to and from each area. I nevertheless voluntarily assume all risks of loss, damage or injury that may be sustained through my child's participation in programs offered by Learning Outside.

I agree to hold Learning Outside, Wendy Banning and all other instructors, volunteers, staff, independent contractors, hired drivers and Learning Outside Board Members as well as the Triangle Land Conservancy harmless for injuries which may occur during such activities or while being transported to and from such activity.
I have read the above and agree to all terms.
Multimedia Image Release
I hereby give permission for my child’s image to be used by Learning Outside and Wendy Banning, Learning Outside’s Director, for outdoor learning presentations, teacher training, publications, advertising and fundraising, including on the Learning Outside websites (www.learningoutside.org + www.learn-outside.com) and the Learning Outside Facebook page or Instagram or the Triangle Land Conservancy website.

NOTE: For security reasons, children’s names are not used with photos in any of these places.
Learning Outside Policies
The registration and payment receipts are not a guarantee of enrollment. All enrollments will be confirmed by personal email from Learning Outside to the parent/guardian.
I have read the above statement regarding enrollment.
No refunds for withdrawals:
I accept that there are no refunds for withdrawals.
I understand and acknowledge that Learning Outside reserves the right to cancel or postpone any of its programs, events, workshops, or gatherings of any kind scheduled to be held at the site for reasons including, but not limited to, safety concerns, weather, and community health risks without reimbursement for any session(s) missed.
I have read the above statement and accept this policy

No make up days for sessions missed due to weather or illness:

I accept that there are no weather make-up days or make up days for absences due to illness.
Race/Ethnicity
The grants that Learning Outside applies for each year require that we specify the racial and ethnic backgrounds of the children enrolled in our programs. Please check all that apply.
Black
African American
Hispanic or Latino
Asian
Native Hawaiian or Other Pacific Islander
American Indian or Alaskan Native
White
Multi-Racial
For NEW families - How did you hear about Learning Outside?
If this is the first semester that you have a youngster enrolled at Learning Outside, please let us know how you found out about us! Check all that apply. Thanks!
Learning Outside’s website or Facebook page
Other online listing
Family friend/work colleague/neighbor
School flyer that came home with your child
Flyer or postcard out around town
Open House or other event at Irvin Nature Preserve
Camp Fair
Community event
Newspaper or print ad
I understand and acknowledge that Learning Outside reserves the right to cancel any program if inadequate enrollment makes the program unfeasible to operate. In this event, Learning Outside will refund fees paid.
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