Registration Child's Name: *Date of Birth: *Name of Parent/Guardian: *Parent/Guardian's Cell: *Mailing Address *Email address(es): *Secondary Name: *Secondary Name's Cell: *Program *Wildlings Learning PodTapiola Forest FridaysWildlings Summer CampEmergency Contact: *Emergency Contact Cell: *Other Information (Allergies, Medical, etc.): *** Please indicate which program you are paying for *** SUBMIT REGISTRATIONPlease do not fill in this field.
