Totem Outdoor School Application "*" indicates required fields Child's First & Last Name* First Last NicknameDate Of Birth Age*Is there another child to register? Yes No Child 2 First & Last Name First Last Child 2 NicknameChild 2 Date Of Birth 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*Driver Pickup ConsentWhat are you registering for?* Homeschool Classes Totem Outdoor Camps 2027 Preschool Classes What are you registering for (Child 2)?*10% sibling discount Homeschool Classes Totem Outdoor Camps 2027 Preschool Classes Homeschool ClassesPick sessionsDay of the week* Wednesdays Fridays Homeschool Session* Fall 2026 Spring 2027 Homeschool Fall 2026 - $1,200*September 9th-December 11th (No class Nov 27) Wednesday 9:30-3:00pm OR Friday 9:30-3:00pm $1200/session paid Aug 1 or $350/4 payments 8/1, 9/1, 10/1, 11/1 Siblings 10% off. All supply fees, registration, insurance and tax are included. Yes No Homeschool Fall 2026 - Child 2 - $1,080*10% sibling discount Yes No Homeschool Spring 2027 - $1,300*March 3rd-June 11th (No Breaks) Wednesdays or Fridays 9:30-3:00pm, $1300/session paid February 1 or $350/4 payments 2/1, 3/1, 4/1, 5/1. Siblings 10% off. All supply fees, registration, insurance and tax are included. Yes No Homeschool Spring 2027 - Child 2 - $1,170*10% sibling discount Yes No Homeschool Subtotal $0.00 Totem Outdoor Camps 2027$100/camp 10% off for siblings. No discount for an individual registering for multiple camps.Totem Outdoor Camps 2027 Child 1* February 12, 2027 - Medicinal Camp February 15, 2027 - Tool Camp February 16, 2027 - Medicinal Camp Totem Outdoor Camps 2027 Child 2*$90 - sibling discount February 12, 2027 - Medicinal Camp February 15, 2027 - Tool Camp February 16, 2027 - Medicinal Camp Totem Outdoor Camps 2027 Child 1 Additional WeeksTotem Outdoor Camps 2027 Child 2Totem Outdoor Camps 2027 Subtotal $0.00 Select Totem Outdoor Camps 2026$100 February 12, 2027 - Medicinal Camp February 15, 2027 - Tool Camp February 16, 2027 - Medicinal Camp Do you want to add additional weeks for this child? Yes No Do you want to add additional weeks for child 2? Yes No Totem Outdoor Camps 2026 Child 2 Additional Weeks February 12, 2027 - Medicinal Camp February 15, 2027 - Tool Camp February 16, 2027 - Medicinal Camp Totem Outdoor Day Camps 2026Totem Outdoor Day Camps 2026Select Totem Outdoor Day Camps 2026 January 19th (Monday) 9:30-3:00 - Medicinal Camp February 10 (Tuesday) 9:30-3:00pm - Power Tools Camp February 17 (Tuesday) 9:30-3:00pm - Medicinal Camp February 20th (Friday) 9:30-3:00 - Power Tools Camp Select Totem Outdoor Day Camps 2026 - Child 210% sibling discount January 19th (Monday) 9:30-3:00 - Medicinal Camp February 10 (Tuesday) 9:30-3:00pm - Power Tools Camp February 17 (Tuesday) 9:30-3:00pm - Medicinal Camp February 20th (Friday) 9:30-3:00 - Power Tools Camp Totem Outdoor Day Camps 2026 - Child 2Day Camp Subtotal $0.00 Preschool ClassesFor children ages 3-5 years. 9:30-2:00pm Preschool Session* Fall 2026 Spring 2027 Preschool Fall 2026 - $1200*September 8-December 10th (No class Nov 26) Thursday 9:30-2:00pm $1200/session paid by Aug 1 or $350/4 payments 8/1, 9/1, 10/1, 11/1 Yes No Preschool Fall 2026 - Child 2 - $1080*10% sibling discount Yes No Preschool Spring 2027 - $1500*March 4th (15 classes No breaks) Thursday 9:30-2:00pm $1500/session paid by February 1st or $400/4 payments 2/1, 3/1, 4/1, 5/1 Yes No Preschool Spring 2027 - Child 2 - $1350*10% sibling discount Yes No Preschool Subtotal $0.00 PaymentPayment Method*Payment must be received to guarantee enrollment. Pay Online Pay by check Pay now or monthly?*If you decide to pay monthly online (not available for summer program), you will be taken to the tuition page to set up payments. If you pay the total now, you will be taken to Paypal to make your payment. You do NOT need a Paypal account to pay. Select "Pay with Debit or Credit Card" in next Paypal screen if needed. Pay all now online Pay monthly online Online Processing FeeWe provide online payment to our families as a convenience. If you prefer not to pay the online processing fee (3.5%+$.31 per transaction) please bring your check to the school. Price: $0.00 Total 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