Parent's Name *

First Name

Last Name

Parent's Phone *

(###)

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Child's Name *

First Name

Last Name

I/We would like our child to return to the Teen Program s/he is currently enrolled in for the 2025/2026 program year beginning September 2025. *

Yes

No

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

Yes

No

We are interested in more teen program options. If these additional opportunities are developed, which ones would be of interest to your teen?

A weekly Friday evening program with seasonal overnight camping experiences

Seasonal weekend camping adventures included in annual program tuition

Seasonal weekend camping adventures only (no other program enrollment required)

Another full day program during the week

A second Dusk Walker evening opportunity

Required *

I/We understand that by enrolling my/our child in an annual Teen Program, I am/we are committing to pay the full tuition for the entire program (September 2025 - June 2026). If my/our child leaves the program before the end of the program year for any reason, I/we understand 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.