Child's Full Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Full Home Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Primary Guardian's Name *

First Name

Last Name

Primary Guardian's Phone *

(###)

###

####

Secondary Guardian's Name

First Name

Last Name

Secondary Guardian's Phone

(###)

###

####

By checking the box below and typing my full name and date, I hereby authorize the staff at Tiny Seeds Forest School to act on my behalf if there is an emergency requiring medical attention. I hereby release Tiny Seeds Forest School from any liability for injuries incurred anytime my child is in school. I have communicated physical restrictions that would impact my child’s participation in the program. I understand that children need to be potty trained to be at the school. *

I Agree

Today's Date *

MM

DD

YYYY

Photography Release

Do you consent to photos of your child being taken by teachers for internal and external use?

Yes, for website and social media posts

No, for website and social media posts

Yes, for the parent portal gallery

No, for the parent portal gallery.

Please DO NOT take any photos of my child for any purpose.

Are there any other languages besides English being spoken at home?

Yes

No