Registration - Parent Child Program - WILD ROOTS FOREST SCHOOL

Songbirds Parent Child Program Registration - Wild Roots Santa Barbara

Welcome to Songbirds!

Please fill out the form below to register. You will receive a confirmation and orientation note by email.

SONGBIRDS
For parent and toddler-aged child (sturdy walkers up to 2.5 years)

Monday mornings 9:00am-11:00am
5 weeks per session

Session 1: October 1-29 at Rocky Nook Park
Session 2: January 7- February 11 at Lake Los Carneros
Session 3: February 18 - March 18 at Lake Los Carneros

Cost: $150 per session

Payment information
Payment is due to secure your space, and can be made through Google Pay to wildroots.sb@gmail.com, or by check made out to "Wild Roots" and mailed to 3730 Avon Lane, Santa Barbara, CA 93105, with memo: Songbirds, Parent Name, Session Date

Cancellation Policy and Session Change Policy:

Up to 4 weeks prior to a session start date: For a cancellation, your payment is refundable, less a $30 cancellation fee. No charge to change to a future session within 9 months.

From 4 weeks up to 2 weeks prior to a session start date: For a cancellation, if we can fill your space from the waiting list, your payment will be partially refunded, less a $30 cancellation fee. If we are not able to fill your space, payment is non-refundable, yet is fully transferable to a future class within the 9 months. No charge to change to a future session within 9 months.

After 2 weeks prior to a session start date: Payment is fully non-refundable, and is partially transferrable (50% of the fee may be credited to a future class within 9 months).

*If a Songbirds class is cancelled by Wild Roots, all payments made will be fully refunded.*

Contact
You are welcome to contact Juniper with questions at juniperdwight@gmail.com.

* Indicates required field

Child's Full Name *

Child's Date of Birth *

Child's Gender *

Male Female

Parent/Guardian Name *

First

Last

Cell Phone Number *

Other Phone Number *

Email *

Repeat Email (so we know it's correct) *

City / Town *

Alternate Parent/Guardian Name *

First

Last

Email *

Phone Number *

EMERGENCY CONTACT INFORMATION. Please provide 2 or 3 emergency contacts. (Full Name, Relationship to you, Phone Numbers w/area codes, if cell phone or land line) *

CHILD: Please list any allergies your child has (Foods, Environmental, Medications, Insects) as well as frequency, duration and treatments *

PARENT/S: Please list any allergies the parent/s attending the program has (Foods, Environmental, Medications, Insects) as well as frequency, duration and treatments *

Please tell us who lives in the house with you? Adults? Siblings? Friends? Other children, etc? *

How many hours of visual media (TV, computer,videos) does your child experiences? Please include whether number is a daily or weekly basis. *

Please describe the type of visual media. *

Do you have any concerns you want to share with us? *

Please click the SUBMIT button below.

Submit