Application Santa Barbara Program

Wild Roots Forest School - Santa Barbara Preschool Application

Application Process

Please visit our Santa Barbara preschool page to learn more about the program, and the Enrollment page for information on tuition and fees.

To apply with interest to enroll, the first step is to complete and submit this application. Once an application is received, it is reviewed by the class teacher, the parent/s will be contacted, and a visit to our program will be arranged. Applications received will be awarded space on a first come first serve basis. Once the current class is filled, applicants will be placed on a waiting list and contacted as soon as a space becomes available.

Contact Kolmi Majumdar, Administrative Director, with questions or to follow up with your application at registrar.wildroots@gmail.com.

Wild Roots Forest School - Santa Barbara Preschool Application

* Indicates required field

Child's First Name *

Child's Last Name *

Gender *

Male Female

Child's Date of Birth *

Parent/Guardian Name *

First

Last

Street Address *

City/Town *

State *

Zip Code *

Email *

Cell Phone Number *

Additional Phone Number *

Occupation/Employer *

Parent/Guardian Name *

First

Last

Email *

Street Address if different from above *

City, State and Zip Code *

Occupation/Employer *

Cell Phone Number *

Phone Number *

Does your child currently attend a school program? If so, please share which one and something about the program and how it's going or if transferring out of it, please share why. *

Please tell us who lives in the house with you? Please share their names, ages, and relationships (friends, grandparents, siblings, housemates, etc.) *

Are there any areas you feel your child may need assistance? *

Medical History - Please list any medical needs your child may have. *

Does your child take medication? If so, what kind and what dosage? *

Any childhood illnesses? (i.e. chicken pox, whooping cough..)Please name type, duration, severity and approx. age *

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

How many hours of visual media (TV, computer,videos) does your child experience on Weekdays? *

How many hours of visual media (TV, computer, videos) does your child experience on Weekends? *

Please describe what type/s of visual media are included. *

What kinds of experiences has your child had in nature and what was the response? *

What is the best way to contact you? *

Thank you for taking the time to complete our application. Please click the SUBMIT button below.

Wild Roots does not discriminate on the basis of gender, race, religion, or national origin in its admission policy or conduct of its educational programs.

Submit