Name *

First Name

Last Name

Child #1 Name *

First Name

Last Name

Child #2 Name

First Name

Last Name

Child #3 Name

First Name

Last Name

Child #4 Name

First Name

Last Name

Will you be re-enolling for the 20/21 school year?

Yes

No

If not, why:

Too expensive

Distance / Commute

Don't like the curriculum

Don't like the instructors

Other

Are you currently enrolled in the Friday Nature Immersion Program? *

Yes

No

Will you be enrolling in the Nature Immersion program for the 20/21 school year? *

Yes

No

If yes, please select all the reasons why they are enrolled in Friday Nature Immersion:

Work scheduling - I need child care while I work

Establishing a strong relationship with nature is important to my family

Pricing - Nature Immersion is cheaper than alternative child care options

Other

If your child is not currently enrolled in Friday Nature Immersion, why? (please select all that apply)

Pricing

Scheduling

I don't like the curriculum

I don't like the instructor

Other