Pre-registration for Cage-Free Learning

New/prospective Cage-Free Learning students/campers must first fill out some background information. If you have not, do that first here.

This is your chance to have the camp you want (content and camper age) scheduled to fit your schedule!

For pricing and other information about these camps, please see my website.
*** I serve all students who need more complexity, regardless of ability to pay. ***

Note that the Louisville camps are taught in my house, which is also home to two furry dogs. While the dogs will not be allowed where the class is held, I cannot eliminate the possibility of an allergic reaction.

You will be notified about the result of this application within a week of filling out this application.

1.I have previously submitted background information for this student to Cage-Free Learning. If you haven't, you should fill that out first by clicking here.(Required.)

Yes

2.Contact Information(Required.)

Your First Name

Your Last Name

City

State

Email Address

Phone Number

3.Camper information. If you wish to enroll multiple campers, please fill out a separate form for each one.(Required.)

First name:

Last name:

Age:

Birth date:

Preferred pronoun

Email (optional):

Current school(s):

Current grade(s):

7.Extended hours ($20/hour per student) are available 8AM - 9AM, 4:30PM - 5:30PM, and for half-day campers noon-1:30pm. Will you want any extended hours?(Required.)

No

Yes. Indicate which times this student will attend:

8.If there are any other campers this person wants to be together in a camp with, please enter their name(s) here:

9.If this student identifies as a girl, would she prefer to be in an all-girl camp?

She is only interested in an all-girl camp

She prefers an all-girl camp, but it is not required

She's fine either way / it doesn't matter to her

She prefers not to be in an all-girl camp

10.Is this student interested in taking more than one camp this summer?(Required.)

No

Yes (please describe):

11.Request for alternate price.

All students who would benefit from these classes ought to be able to participate at least once. After that, parents, students, and I can better determine how important these classes are to the student. However, there may be limited slots for reduced price students. These slots will be allotted based on the payment reduction needed AND the emotional need of the student.

If you will need an alternate price for this student to attend, how much will you pay ($, time, or tasks)?

If you would need an alternate price AND have not previously received a reduced price:
Please describe this student's emotional / intellectual need for this class.

12.Comments and questions

If you haven't already filled out a Learner Profile for this student, please do so now at https://www.surveymonkey.com/r/learnprofile. This lets me place students with compatible classmates and individualize my teaching for them.

Pre-registration for Cage-Free Learning - Summer 2019