Raven’s Wood Field School

2016-17 Registration Form

Please complete and send with a $150 deposit to:

Raven’s Wood School

1046 Poor Farm Road

Thetford Center, VT 05075

Email: Phone: (802) 785-4459

Date: ______

Child’s Name:______

Birth Date: ______Male / Female / Transgender Age:______

Grade: ______School: ______

Parent(s)/Guardian(s) name(s):______

______

Address: ______

City: ______Zip: ______

Day phone: ______Evening phone: ______

Email address: ______

Names of others authorized to pick up your child, and phone numbers:

Name:______Phone:______

Name:______Phone:______

Parent/Guardian Signature______Date______

Choose Your Session

_____Gr. K-1:Mondays, Sept.12 – Dec. 12, 2016 Jan. 30 - May 22, 2017
_____Grades 2-3: Tuesdays, Sept. 13 – Dec. 13, 2016 Jan. 31 - May 23, 2017
_____Grades 4-6: Wednesdays, Sept. 14 – Dec. 14, 2016 & Feb.1 - May 24, 2017
_____Grades 6-8:Thursdays, Sept. 15 – Dec. 15, 2016 Feb. 2 - May 25, 2017
_____All Our RelationsSpecial Programming for Grades 4-8:

Fridays: Sept. 16 - Dec. 16, 2016 Feb. 3 - May 26, 2017

All programs run 8-3:00 daily and cost $1950/year.
Winter Break (the usual coldest time) for all groups is Dec.19, 2016 - Jan.27, 2017

The cost for the Field School 2016-2017 is $1950. A $150 non-refundable deposit is due with this registration form.

Payment options: Full tuition half-tuition quarterly payments

Total Enclosed: $______

  • Financial Aid: We strive to make Raven’s Wood School affordable to all families. Scholarships will be available to support families (email or call for details) once we receive our 501(c)3 status and can write grants for this purpose.

Application Questions:

To get a better sense of how we might best serve the needs of your child(ren) we ask that you and your child respond to the following questions. Please attach another sheet if you need more space. Thanks!

For parents:

1). Why would you like your child to participate in Raven’s Wood School?

2). What do you hope your child will learn from this experience?

3). What experience does your child have outdoors?

4). In what learning environments does your child do best? Do you have any concerns about their behavior in groups, or in the forest?

For participating children:

  1. What types of activities that Raven’s Wood School offers are you excited about?
  1. Are there any plants/animals/fungi that you really like?
  1. Is there anything else you would like to tell us about yourself?

Raven's Wood outdoor School for Renegades provides educational opportunities without regard to race, color, national origin, sex, disability, religion, sexual orientation, gender identity, marital/civil union status, or any other characteristicprotected by Federal or State law.

Raven’s Wood School * 1046 Poor Farm Rd. * Thetford Center, VT 05075

(802) 785-4459