Moon Maiden Nature School Parent Name * First Name Last Name Parent Phone Number * (###) ### #### Parent Email * Kid(s) Name and Age * Emergency Contact * Emergency Contact Phone Number * Allergy List * Sensitivity (trigger) List * Coping Strategies * Are you interested in a Parent Led Workshop? Yes No Tell me more! Transportation Agreement * I agree to provide timely transformation for my child to Moon Maiden Nature School Events, classes and field trips. I acknowledge arriving late will not lower my daily rate and arriving late to pick up will result in a late fee of $2 per minute. If someone besides myself or my child's emergency contact will be transporting my child, I will communicate that via text or phone, no later than 9 am the morning of. *Unless a family emergency has occurred. I understand these guidelines are set up to protect everyone. It's important to respect the peace and time of our directors and the other families taking classes. Agree Photo Consent Agree Are you interested in: Drop off care for Single Child ($66 per day) Drop off care for Multi-Child household ($44 per child) Parent Involved non-drop off ($33 for single child) Parent Involved non-drop off for multi-child household ($22 per child) Thank you! Pay Here ⋆ Pay Here ⋆ Pay Here ⋆ Pay
