Enrollment Application

Big Tree does not discriminate against any person on the basis of race, color, national origin, ancestry, gender, gender expression, sex, sexual orientation, religion, physical or mental disability, or socioeconomic background.

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Which program are you applying for? *

• Big Tree ALC (Wed and/or Fri, ages 5-13)
• The Clubhouse (Mondays, ages 11+)

Student Name *

First

Last

Student Birthdate *

What are your child's pronouns? *

(she/her, he/him, they/them)

Parent/Guardian Name *

Email *

Phone Number *

How did you hear about Big Tree?

What are your child's interests? What do they enjoy doing with their peers? *

Please describe your child's prior experiences with schooling (if any) *

How do you feel Big Tree will be a good fit for your child? *

What are your main goals for enrolling your child in our program? How do you envision Big Tree benefitting your child's development and growth? *

Tell us a little bit about your child's personality. *

How does your child respond when they are upset? How is your child best comforted/supported when conflict arises? What type of conflict resolution practices does your child utilize at home or with peers? *

Does your child have any challenges we should know about? *

What supports do you anticipate your learner needing from Big Tree in order to be successful in our community? *

Does your child have any food allergies or other allergies we should be aware of? *

If you plan to attend with your child, will you have younger siblings (children under 5) with you?

needing in What

If you (parent/caregiver) would like to contribute to our program please briefly describe any skills, expertise, time, or resources that you would be willing to share with our community.

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