KITE'S NEST REGISTRATION FORM - WINTER & SPRING 2017


Welcome to Kite’s Nest! Please fill out the form below to register for an upcoming program. We look forward to having you and your family join us!

How Tuition Works: Kite’s Nest is committed to supporting a diverse community of participants, and offers sliding-scale tuition reduction to ensure that children from across the economic spectrum can attend our programming. In order to make it possible to provide financial aid to low-income families, we encourage those who are able to pay the full tuition amount to please do so. In this spirit, we reserve a number of spots for families who qualify for tuition reduction or full scholarship in each of our workshops. If you are interested in applying for reduced tuition, please contact us. We send you a simple application for sliding-scale tuition reduction or full scholarship. No family is ever turned away for lack of funds and we are committed to finding a way to make it work for each family.
Contact: kaya@kitesnest.org or call 518 945-8445

Program Registration & Tuition
Which daytime programs are you registering for?
Which after school programs are you registering for?
Tuition reduction and full-scholarship applications are available upon request. Once you’ve qualified for full scholarship, tuition reduction or work-trade, please indicate the agreed upon amount below. If you are proposing a monthly payment plan (or other payment plan arrangement), please indicate the exact amounts and dates below. A $100 deposit per class is due to secure registration. The remaining balance is due on first day of class unless a payment plan has been arranged. Please contact kaya@kitesnest.org if you have questions about tuition or payment.
About Your Child
We'd love to know about their interests, hobbies, or favorite things to do. Please also share aboutt your child's experience with schooling, homeschooling, learning styles or social experiences. Are there any issues your child struggles with? Areas they excel in? Feel free to add anything else you'd like us to know!
Please let us know if your child has a vision impairment, auditory impairment, or speech/language delay. If your child struggles with any emotional or cognitive issues, or has a chronic disease such as asthma, diabetes, or a seizure disorder, please let us know how we can serve them best.
Food, insects, medication, latex, other?
We do not store medications for students, but we can help them remember to self-administer, with advance notice. Let us know if we can help your child remember to take any necessary medications. Also, if your child takes meds for a physical, emotional, or cognitive condition, please tell us a little bit about it.
CONTACT INFO
PARENT/GUARDIAN 1 (REQUIRED)
Parent/Guardian Name *
Parent/Guardian Name
parent/guardian 2
Parent/Guardian Name
Parent/Guardian Name
EMERGENCY CONTACTS
Alternate Contact 1 Name *
Alternate Contact 1 Name
Alternate Contact 2 Name
Alternate Contact 2 Name