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.):Membership Fee There is a $200 community membership due upon confirmation of registration (one membership per family). Your community dues goes towards community and parent involvement activities designed to tie your child's learning experience to the world around them *** Please indicate which program you are paying for ***SUBMIT REGISTRATIONPlease do not fill in this field.
