Totem Outdoor School Application "*" indicates required fields Child's First & Last Name* First Last NicknameDate Of Birth MM slash DD slash YYYY Age*Is there another child to register? Yes No Child 2 First & Last Name First Last Child 2 NicknameChild 2 Date Of Birth MM slash DD slash YYYY Child 2 AgeParent 1 Name* First Last Parent 1 Cell*Parent 1 Email Address* Parent 2 Name First Last Parent 2 CellParent 2 Email Address Home Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Emergency Name* First Last Emergency Phone Number*Food IntoleranceAllergiesEpi Pen Provided* Yes No Medical ConditionsAny Behavioral ConcernsName of Insurance*Policy Id Number*This field is hidden when viewing the formDriver Pickup ConsentWhat are you registering for? Homeschool Classes Totem Outdoor Summer Camps 2025 Totem Outdoor Day Camps 2026 Preschool Classes What are you registering for (Child 2)?10% sibling discount Homeschool Classes Totem Outdoor Summer Camps 2025 Totem Outdoor Day Camps 2026 Preschool Classes Pick sessionsSpring 2025 - $1,100Fridays, February 28th-June 13th, 2024 (16 classes for the session) Yes No Spring 2025 (Child 2) - $99010% discount Yes No Homeschool Fall 2025 - $1,00013 week session September 12th-December 12th (No class November 27th). Fee: $1000 for the full session payment due August 1, 2025 OR 3 payments of $350 due August 1, Sept 1 and Oct 1. Siblings 10% off. All supply fees, registration, insurance and tax are included. Yes No Homeschool Fall 2025 (Child 2) - $90010% sibling discount Yes No Homeschool Spring 2026 - $1,20015 week session March 6th-June 12th. Fee: $1200 for the full session payment due February 1, 2026 OR 4 payments of $350 due February 1, March 1, April 1 and May 1 2026. Siblings 10% off. All supply fees, registration, insurance and tax are included. Yes No Homeschool Spring 2026 - Child 2 - $1,08010% sibling discount Yes No Homeschool Subtotal $0.00 Totem Outdoor Summer Camps 2025Camps are offered Tuesday, Wednesday, Thursday 9:30-3:00pm for kiddos ages 5-10 years. (August 5-7th ages 5-12 years). Fees: $325/week, $300 for additional weeks and siblings.Select Summer Camp 2025 Session*$325 July 15-17th (ages 5-10) (TWTh) session July 22-24th (ages 5-10) (TWTh) session July 29-31st (ages 5-10) (TWTh) session August 5-7th (ages 5-12) (TWTh) session Summer Camp 2025 Child 2$300 - sibling discount July 15-17th (ages 5-10) (TWTh) July 22-24th (ages 5-10) (TWTh) July 29-31st (ages 5-10) (TWTh) August 5-7th (ages 5-12) (TWTh) Do you want to add additional weeks for this child?* Yes No Do you want to add additional weeks for child 2?* Yes No Summer Camp 2025 Child 1 Additional WeeksSummer Camp 2025 Child 1 Additional Weeks July 15-17th (ages 5-10) (TWTh) July 22-24th (ages 5-10) (TWTh) July 29-31st (ages 5-10) (TWTh) August 5-7th (ages 5-12) (TWTh) Summer Camp 2025 Child 2 Additional Weeks July 15-17th (ages 5-10) (TWTh) July 22-24th (ages 5-10) (TWTh) July 29-31st (ages 5-10) (TWTh) August 5-7th (ages 5-12) (TWTh) Summer Camp 2025 Child 2Summer Camp Subtotal $0.00 Totem Outdoor Day Camps 2026Totem Outdoor Day Camps 2026Select Totem Outdoor Day Camps 2026 February 10, 2026 (Tuesday) 9:30-3:00pm February 17, 2026 (Tuesday) 9:30-3:00pm Select Totem Outdoor Day Camps 2026 - Child 210% sibling discount February 10, 2026 (Tuesday) 9:30-3:00pm February 17, 2026 (Tuesday) 9:30-3:00pm Totem Outdoor Day Camps 2026 - Child 2Day Camp Subtotal $0.00 Preschool ClassesFor children ages 3-5 years. Offering; Tuesday/Thursday 9:30-2:00pm (9-9:30 drop off)Preschool Fall 2025 - $1,700Sept 8-Dec 11th Fee: $1700/session due 8/1 or $600x3 payments due 8/1, 9/1, 10/1 Yes No Preschool Fall 2025 - Child 2 - $1,530$1530 - sibling discount Yes No Preschool Spring 2026 - $2,200March 3-June 11th Fee: $2200/session due 2/1 or $600x4 payments due 2/1, 3/1, 4/1, 5/1 Yes No Preschool Spring 2026 - Child 2 - $1,980$1980 - sibling discount Yes No Preschool Subtotal $0.00 PaymentTotal Payment Method*Payment must be received to guarantee enrollment. Pay Online Pay by check Pay now or monthly?*If you decide to pay monthly online (not available for summer program), you will be taken to the tuition page to set up payments. If you pay the total now, you will be taken to Paypal to make your payment. You do NOT need a Paypal account to pay. Select "Pay with Debit or Credit Card" in next Paypal screen if needed. Pay all now online Pay monthly online Online Processing FeeWe provide online payment to our families as a convenience. If you prefer not to pay the online processing fee (3.5%+$.31 per transaction) please bring your check to the school. Price: $0.00 Coupon Total Total to Pay by CheckPlease reach out to Totem Outdoor School after submitting this form if you would like to pay by check monthly (not available for summer programs). $0.00 Total DueYou will be taken to the Tuition Page after you click submit below to make your first monthly payment $0.00 Financial Obligations* I understand the financial obligations to Totem Outdoor School (Totem Preschool LLC). There are no refunds, credits or transfers of payments. Liability Release Statement* This applicant has my permission to participate in activities and events organized by Totem Outdoor School (Totem Preschool LLC). I hereby release from liability and financial obligations directly or indirectly to include teachers, staff and instructors of Totem Outdoor School (Totem Preschool LLC). I understand in a case of an accident or illness, Totem Outdoor School (Totem Preschool LLC) has my permission to secure emergency medical attention. Payment MethodPayPal CheckoutCredit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name Δ