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All around you are spirits, child.
They live in the earth, the water, the sky.
If you listen, they will guide you.

Grandmother Willow

Nature In Mind Registration Form 2020 - 2021:

(Nov-Dec)

Registration is now open for November - December.
For drop in, please sign up two days before the class so that I have time to prepare enough materials.

* Indicates required field

Child’s full name: *

First

Last

[object Object]

Second Child's Name *

First

Last

First child's Birthdate (YYYY/MM/DD) *

YYYY/MM/DD

Second Child's Birthdate(YYYY/MM/DD) *

November - December : 2021 *

Wednesday class (6 classes) Thursday class morning (6 classes) Thursday class afternoon (6 classes) Drop in class (1 class)

Wednesday Date and Location
10:00-11:30
Nov. 3 Flagstone Park ( extra class)
(bear class, make up from fall)
Nov. 10 St Albert Botanical Park
Nov. 17 Dixon Pond off North Ridge Drive
Nov. 24 Lois Hole Centennial Provincial Park
Dec. 1 Ted E Hole Park
Dec. 8 Lion's Park
Dec. 15 Lion's Park

Thursday Date and Location
Morning: 10:00-11:30
Afternoon: 1:00-2:30
Nov. 4 St Albert Botanic Park
Nov. 11 No CLASS, Remembrance Day
Nov. 18 Dixon Pond off North Ridge Drive
Nov. 25 Lois Hole Centennial Provincial Park
Dec. 2 Ted E Hole Park
Dec. 9 Lion's Park
Dec. 15 Lion's Park

Drop In class date *

Fee: Each week is $20 per child attending.
Children under 2 are free while attending with an older sibling.
A parent must attend with the child.
There are 6 classes in the November December session. (Nov. 3 is a make up class from the fall)
1) Drop in: $20 per child over 2.
1 child: $120
2) 2 children: $240
Drop ins are only available if the class is not full. Please contact Anne to find out if you can drop in.
If you are doing drop in, please register 2 days before the class and send payment of $20.
If the class is canceled due to poor weather, we will try to choose a new date to make up the cancelled class.
Weather Conditions
If the weather is at -15° C or below, the program will be canceled for the day. An alternative make up date will be discussed with the group if possible. If it is not possible to find an alternate date, the class will not be refunded. There is a lot of preparation and planning that goes into preparing for each class and I am no longer able to refund the class due to the weather.

Program Payment Options:

Cheque: please make it payable to Anne Logan
Email transfer: aologan3@gmail.com. password natureprogram
Cash

Weather Conditions
The program runs snow, rain or shine. Please come prepared with proper clothes, and hot drinks, if the weather is predicted to be cold /wet.
If there is lightening and the class has to be cancelled, an alternative make up date will be discussed with the group if possible.
If it is not possible to find an alternate date, the class will not be refunded. There is a lot of preparation and planning that goes into preparing for each class and I am no longer able to refund the class due to the weather.

Parent/ Guardian name *

Address *

Line 1

City *

Postal Code *

Email *

Cell Phone Number *

Work Phone Number *

Emergency Contact Information

Emergency Contact's Name and relationship to your child *

Phone Number *

Work Number *

I have up to date Standard First Aid. In the event of an emergency I will determine the nature and extent of the emergency. I will ensure that all children are safe. I will assess the injury and call 9-1-1 if necessary. I will use first aid to help the injured child. Finally, I will complete an Accident Report form.

Medical Information

Allergies

List all allergies and their severity *

Any Medical concerns I should be aware of? *

Any behavioral needs I should be aware of? *

Additional health related information *

Permission to Photograph
I give Nature In Mind permission to take photographs of my child or an adult participant during program activities. I am aware that these photos may be used for promotional purposes, including but not limited to Facebook, Instagram, website and print.

Permission to Photograph *

I allow my child to be photographed I will not allow my child to be photographed

Parent Signature *

Date (dd/mm/yy) *

Waiver *

I, the adult participant in Nature in Mind programs named below (the "Participant") and guardian (the "Guardian"), of minor participant(s) named below (the "Children") understand that by checking off and entering my name on this document I expressly agree to all the terms and conditions set forth in this agreement (the "Release"). I understand that participation in activities can expose the named participant to risk and possible injuries. I understand that there is a qualified certified First Aider on site and grant permission for them to treat the above named participant in the event of an injury. I, as Parent and Guardian, accept and assume any and all risks of injury up to and including death, to myself and my Child/ren, or any property damage, whether caused by the negligence of Nature in Mind or otherwise. I, as Parent and Guardian, expressly waive and release any and all claims, now known or hereafter known, against Nature in Mind, and its officers, directors, employees, volunteers, successors and assigns (collectively, the "Releasees"), on account of injury, death, or property damage arising out of or attributable to participation in Nature in Mind Programs, whether arising out of the negligence of Nature in Mind, of any or the Releasees, or otherwise. I, as Participant and Guardian, covenant not to make or bring any such claim against the Nature in Mind or any other of the Releasees and forever release and discharge Nature in Mind and all other of the Releasees from liability under such claims. I, understand that as a Guardian, I must exercise extra care, responsibility, and supervision of myself and my Child/ren during Nature in Mind Programs. I understand that if my child is too sick to go outdoors they should not attend the program. Where possible, I acknowledge that I have read and fully understand this agreement and accept the risks involved with the aboved named participant's engagement in these activities with Nature in MInd program.

Waiver Signature

Name on waiver *

First

Last

Signature *

Date (dd/mm/yy) *

Preparing for Nature in Mind: Clothing and Equipment
Learning can only happen when we are comfortable, so please ensure your child is set up for success.
Due to COID-19, food is not provided. Please pack enough food for your child and a warm drink to meet their needs.

Fall list
1. Blanket for your family to sit on during story time and snack time.
2. Snack, please no nuts. Warm drink, and water.
3. Warm sweater
4. Jacket and gloves
5. Base Layers
6. Shoes or boots if it is raining.
7. Toque and scarf if windy.

Winter

Blanket for your family to sit on during story time and snack time.
Snack, something hot to drink, please no nuts.
Winter Hat
Scarf and/or Neck Warmer
2 Pairs of Warm, Waterproof Mitts
Waterproof Snowsuit
Waterproof Boots (with removable liner)
Thermal Shirt and Pants, Middle Layer, Wool/Fleece Sweater (cotton not ideal for winter weather)
Wool Socks
Hand warmers (Hot Shots)

Summer

Snack, please no nuts.
Rain Gear (Waterproof Boots, Pants, Jacket)
Running Shoes,
Sun Hat
Lightweight Clothing
Water Shoes (sandals, crocks)
Sunscreen
Sunglasses

All seasons

Small Backpack,
Healthy Food, please no nuts.
Water Bottle
Change of Clothes(especially socks!)

The more prepared you are the happier the day goes, as they say, "There is no such thing as bad weather only unsuitable clothing."

Getting to Know Your Child : You do not need to complete this section if you are a returning family

What are your child’s favorite activities? *

If you are returning you do not need to complete this section

Does your child enjoy spending time outdoors? If yes, what do they like to do? *

How would you describe your child’s personality? *

Are there any challenges that your child experiences and requires support for? (sensory issues, emotional, separation anxiety, other) *

What skills or knowledge do you hope your child will gain by attending the Nature in Mind program? *

Thank you for sharing this information with me. If you have any questions or concerns please feel free to connect with me after class in person, by email or by phone to collaborate about your child’s learning and growth. I look forward to getting to know your child and exploring the outdoors with them.

How did you learn about Nature In Mind’s program?

How did you learn about us ? Choose Any *

Website Newspaper Friend or Family Facebook/Social Media Other

If you selected "other", please let us know where *

Once you have registered for the program, payment is due within 72 hours of receiving the confirmation email. This email will be sent to you within 2-3 business days of receiving your registration.

Please submit payment of fees via
e-transfer to aologan3@gmail.com (please make the password “natureprogram” or by cheque to secure your spot.)
Cheques can be made out to Anne Logan

Submit

“Teaching children about the natural world should be seen
as one of the most important events in their lives.” ‬

Thomas Berry

2021 Summer Program

Drop in programs: Age 2-6 year old children and 7-12 year old children.
An interactive outdoor program for parents and children to explore and learn about the natural world.

Dates:
July 20 and July 22
Mornings: 10:00-11:30: Parented class 2-6 year olds
Afternoons: 12:30-2:00: Unparented class, 7-12 year olds

July 27 and 29
Mornings: 10:00-11:30: Parented class 2-6 year olds
Afternoons: 12:30-2:00: Unparented class, 7-12 year olds

You can sign up for a single class, 2 classes, 3 or all 4. Each program will be different.
Feel free to contact Anne if you have any questions about the program, aologan3@gmail.com or call/text 780-729-3611

Date	Location	Time
Tuesday, July 20	Rotary Park	10:00-11:30 or 12:30-2:00
Thursday, July 22	White Spruce Forest	10:00-11:30 or 12:30-2:00
Tuesday, July 27	Lion's Park	10:00-11:30 or 12:30-2:00
Thursday, July 29	Lacombe Lake, Dog Park	10:00-11:30 or 12:30-2:00

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Phone: 780-729-3611
Email:aologan3@gmail.com

Nature In Mind Registration Form 2020 - 2021:

2021 Summer Program

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