Ravens Registration – Fall 2023 RM_StatsWildsight Kimberley / Cranbrook is offering Forest and Nature School programs for the Fall 2023 term. The following registration form will be used to fill available spaces on a first-come, first-served basis. Please complete one form per child. Spaces will not be reserved until payment has been received.Fall 2023 will be a MODIFIED program, once per month. Fridays 12:30-5pm, Sep 29, Oct 20, Nov 10, and Dec 8 (subject to sufficient registration) Book all 4 weeks for $172 per child. Or, $50 per child for each individual day. **The Fall 2023 Modified Program will take place in Lois Creek Trails, meeting at Lindsay Park Elementary School playground and finish at the top of Trail Street trailhead. Late arrivals are welcome, to accommodate various public school end times. Parents will be responsible for getting your child to the program. Email info@kimberleyoutdoors.ca if you have any questions.Cancellation Policy : Please consider your registration carefully. To withdraw a child from the program we must receive a written request (e.g. via email) with 14 days or more notice prior to the start of the program, in which case a full refund minus $30 administrative fee will be granted. With less than 14 days before the program starts, no refund will be offered except in extreme circumstances determined on a case by case basis. If such a case is approved, a $30 administrative fee will apply.Parent/Guardian InformationParent's Full Name *Email *Phone Number *Alternate Emergency Contact Name *Alternate Emergency Contact Phone NumberAlternate Pickup Names and Phone NumbersChild's InformationChild's Full Name *Child's Date of Birth *Child's Age as of start of program *Child's Health Care Card Number (Wildsight Kimberley / Cranbrook is not responsible for any expenses accumulated as a result of medical emergency - each participant MUST be covered by provincial or private medical insurance.) *Child's Allergies and Medical Conditions. Describe any conditions/medications, allergies and physical or intellectual disabilities/limitations. Please note, if your child requires additional support (ex. Education Assistant) at school, you will be responsible to provide equivalent support for Forest and Nature School programs. *Additional Child's Full NameAdditional Child's Date of BirthAdditional Child's Age as of start of programAdditional Child's Health Care Card Number (Wildsight Kimberley / Cranbrook is not responsible for any expenses accumulated as a result of medical emergency - each participant MUST be covered by provincial or private medical insurance.)Additional Child's Allergies and Medical Conditions. Describe any conditions/medications, allergies and physical or intellectual disabilities/limitations. Please note, if your child requires additional support (ex. Education Assistant) at school, you will be responsible to provide equivalent support for Forest and Nature School programs.Does your child carry: Epi-pen Inhaler Medications DeclarationBefore the start of your child's program, you will also need to complete the following (to be shared at a later date): Wildsight Kimberley / Cranbrook Waiver form (required) and Photo Release (optional).I understand that by ticking 'Yes' below I am electronically signing this legally binding document. I confirm that the information provided above is a complete and accurate statement of the physical and psychological factors that may affect my child’s participation in the program. I realize that failure to disclose such information could result in serious harm to the participant and fellow participants. I agree to indemnify and hold harmless Wildsight Kimberley / Cranbrook and its contractors, employees, successors, and all those for whom Wildsight Kimberley / Cranbrook is responsible from all manners of action, claims, or demands of any nature. * Yes, I understand and agree. I will complete and return the separate waiver document as/when provided by Wildsight Kimberley / Cranbrook. Email Updates I would like to receive Forest and Nature School updates I would like to receive Wildsight updates Program Fee MODIFIED Monthly Program, all 4 days ($ 172) × MODIFIED Monthly Program: Sep 29 only ($ 50) × MODIFIED Monthly Program: Oct 20 only ($ 50) × MODIFIED Monthly Program: Nov 10 only ($ 50) × MODIFIED Monthly Program: Dec 8 only ($ 50) × You will be re-directed to PayPal.com for payment after clicking 'Submit'. You do not need a PayPal account to pay by credit card.Select a payment method * Note: It looks like JavaScript is disabled in your browser. Some elements of this form may require JavaScript to work properly. If you have trouble submitting the form, try enabling JavaScript momentarily and resubmit. JavaScript settings are usually found in Browser Settings or Browser Developer menu.
