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Child information and emergency contact details

We take safety very seriously and therefore to ensure your child has the best experience, please complete this form. Your responses help us learn about your child, their interests, and how we can best support them during the program.


What We'll Ask:

  • Emergency contact details.

  • Your child’s likes, dislikes, and what excites them about nature.

  • Any specific goals or skills they hope to learn.

  • Allergies, medical needs, or other important information.

Thank you for taking the time to share—this helps us create a safe and enjoyable environment for all!

About your Child

Pronouns
She/Her
He/ Him
She/ They
He/ They
They/ Them
Just Your Name
Other

Sharing pronouns lets us know how we should refer to you. This can be essential to affirm your identity.

Birthday
Year
Month
Day

Emergency Contacts

Please include:

  • Name

  • Phone number

  • Email Address

  • Address (if different from child)

Please include:

  • Name

  • Phone number

  • Email Address

  • Address (if different from child)

Please include:

  • Name

  • Relationship to child

  • Phone number

Wild Fauna Nature Play

Thanks for submitting!

2180 Landry St,

Clarence Creek, ON K0A 1N0

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We want to acknowledge that we play, learn & explore on the stolen lands and unceeded Anishinabewaki territory of the Anishinaabe people; and the lands of the Omamiwininiwag (Algonquin) people and Kanien'kehá:ka (Mohawk) people of the Haudenosaunee Confederacy of six nations.

We offer an inclusive space by honoring everyone’s unique being, their race, their individual beliefs, language, religion & gender identities & fluidities. We honor our human peer’s pronouns and consistently respect & use them. We extend love to all our living relations by fully respecting all individual needs without judgment.

©2025 by Wild Fauna Nature Play

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