Parent's Name *

First Name

Last Name

Parent's Phone *

(###)

###

####

Child's Name *

First Name

Last Name

Child's Date of Birth *

MM

DD

YYYY

I/We would like our child to return to Coyote Pups/Fox Kits for the Winter/Spring Session beginning January 27, 2025. *

Yes

No

My child will be enrolled with Heartland Charter School during this session. *

Yes

No

I/We need help deciding the best program choices for my/our child and request a conversation with mentors. *

Yes

No

Required *

I/We understand that by enrolling my/our child in Fox Kits or Coyote Pups Winter/Spring Session, I am/we are committing to pay the full tuition for the entire program session (January 2025 - June 2025). If my/our child leaves the program before the end of the session for any reason, I/we accept that I am/we are financially obligated to pay the full tuition cost unless I/we find someone to take my/our child’s place in the program.