Earth Warriors Enrollment Please enable JavaScript in your browser to complete this form. - Step 1 of 5Child's Name *FirstLastWill your child be continuing for Fall Session? *YesNoNote (optional):PERSONAL INFORMATIONDate of Birth *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Parent or Guardian's Name *FirstLastAddress *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePrimary Phone Number *Secondary Phone NumberEmail *Emergency Contact's Name *FirstLastEmergency Contact's Phone Number *Please share your child's strengths and passions:Does your child have any dietary restrictions?(We sometimes cook together and want to accommodate dietary needs.)Does your child have any physical restrictions?Allergies (please specify):Medications:NextCOMMUNITY EXPECTATIONS & PROGRAM FITOur mission is to create opportunities for people to experience a deep connection with nature, each other, and themselves. Earth Warriors is a nature-based education and mentorship program rooted in exploration, creativity, shared responsibility, and mutual respect. Participation Expectations To preserve the integrity of this experience, participants are expected to: Follow direction and safety instructions from group leaders. Demonstrate safe behavior around tools, natural materials, animals, and the shared space. Respect the personal boundaries, belongings, and physical safety of others. Participate in the group without requiring continuous one-on-one supervision. Program Fit & Support We warmly welcome children of diverse backgrounds, abilities, learning styles, and identities, and believe every child deserves opportunities to connect with nature. At the same time, we recognize the limitations of our small group program. We are committed to providing guidance, encouragement, and behavioral support within our group setting. However, Earth Warriors is not structured to provide ongoing one-on-one supervision or behavioral support, and may not be the right fit for every child. The best experiences are created when our program structure aligns with the needs of each child. Parent Partnership We value open communication and encourange parents to reach out with any questions or concerns. We also ask families to disclose, before enrollment, any behavioral, developmental, medical, or other support needs that could affect their child's participation or require support beyond what our program is able to provide. This helps us determine together whether Earth Warriors is a good fit and maintain a safe, positive experience for everyone. If concerns arise during the program, we will communicate openly with families and make reasonable efforts to support each child's success within the scope of our program. If a child's supervision or support needs continue to exceed what our program can reasonably provide, we reserve the right to pause enrollment or determine that another setting would better meet the child's needs. Safety Behavior that places the safety or wellbeing of participants, staff, animals, or property at risk, including serious safety concerns or physical aggression, may result in immediate parent pickup or dismissal from the program. When Our Program Isn't the Right Fit If it is determined that our program is not the right fit for a child, refunds will be considered on a case-by-case basis, taking into account the timing of the decision, the portion of the program completed, and whether the vacated space can reasonably be filled. Our goal is to be fair both to enrolled families and to the sustainability of our small programs. ACKNOWLEDGEMENT *I acknowledge that I have read, understand and agree to the above Community Expectations & Program Fit.Are there any physical, social, or emotional challenges that would be helpful for us to be aware of?PreviousNextTUITION, CANCELLATIONS & EXTREME WEATHERTUITION Tuition for each 10-week session is $700 and is due by the first week of each session. We offer a 10% discount for families with multiple siblings attending: $1260 for 2 siblings $1890 for 3 siblings To pay your tuition, you have a few options: Venmo @Heidi-Elizabeth-Madsen Write a check to Bluebird Hill Homestead and drop it off with Heidi or mail it to 456 Old E East, Hudson, WI 54016 Or bring cash and drop it off with Heidi If you would prefer to pay by credit or debit card, please contact Heidi. A 3% service charge will be added to cover the processing fee. CANCELLATIONS Your tuition includes a 25% non-refundable deposit. If you need to cancel your child's enrollment for any reason before the halfway point of the session, we will refund your prorated tuition minus the deposit amount as long as the opening can reasonably be filled. After the halfway point, tuition is not refundable. MISSED CAMP DAYS (Absences) Because we purchase supplies, schedule staff, and reserve a spot specifically for each child, we are unable to offer refunds or prorated tuition for missed camp days due to illness, injury, travel, or other unforeseen circumstances. WEATHER & AIR QUALITY Our nature camps are generally 100% outdoors and we meet rain or shine. We carefully monitor weather and air quality before and during each camp day. For sudden severe weather, we take shelter in the concrete root cellar area of our home. During Winter Session, we sometimes eat lunch indoors, to dry and warm any wet outer gear. If extreme weather, unhealthy air quality, or another unforeseen event creates unsafe conditions, we may modify our activities, shorten the camp day, or cancel camp if necessary. Tuition is non-refundable for cancellations due to weather or other circumstances beyond our control, but if a full camp day must be cancelled, we will determine any credits for a future session. ACKNOWLEDGEMENTI acknowledge that I have read and understand the above Tuition, Cancellation, & Extreme Weather Policies.PreviousNextPHOTO & VIDEO RELEASEWe love capturing the playful and memorable moments that happen during our programs and events! With your permission, we may photograph or record your child and use those images and videos to share about our programs on our Bluebird Hill Homestead website, our social media pages, and/or printed flyers. Children’s names are not shared publicly in connection with these images or recordings. We greatly appreciate photo permissions, as this helps us share the joy of nature connection with our community! PHOTO & VIDEO RELEASE *Yes, I grant permission for Bluebird Hill Homestead to use photos and videos of my child during participation in its programs and events for the purposes listed above.No, I do NOT grant permission for photos or videos of my child to be used for these purposes.PreviousNextRELEASE, INDEMNIFICATION, AND ASSUMPTION OF RISK(Please read carefully. This agreement affects your legal rights.) I understand that participation by my child in classes, workshops, camps, programs, and other activities sponsored or hosted by Bluebird Hill Homestead may involve inherent risks of injury, illness, death, or loss of or damage to personal property. These risks may include, but are not limited to, insect and animal bites and stings; contact with plants, fungi, and other natural materials; exposure to weather and other forces of nature, including lightning and unexpected or extreme weather conditions; uneven, slippery, or unstable ground; low-hanging branches; sharp objects; tools and equipment; fire, hot surfaces, and other hazards associated with specific activities; and other hazards that may be present in a natural or outdoor environment. I understand that these risks cannot be completely eliminated and that my child will be expected to follow reasonable safety instructions and rules provided by program leaders and to behave in a manner appropriate for the activity. To the fullest extent permitted by law, I voluntarily assume the inherent risks associated with my child's participation and release and hold harmless Bluebird Hill Homestead and its owners, officers, instructors, agents, employees, and volunteers (collectively, the “Releasees”) from claims for injury, illness, death, or property damage arising from the inherent risks of the activity or from my child's own actions or failure to follow reasonable safety instructions. I further agree to indemnify and hold harmless the Releasees from claims, damages, losses, or expenses arising from injury, death, or property damage caused by my child's actions or omissions, including injury or damage caused to another person or to property as a result of my child's conduct. I agree to pay for or reimburse Bluebird Hill Homestead for any damage my child intentionally or negligently causes to Bluebird Hill Homestead property or property used for a specific activity. ACKNOWLEDGEMENT *I, the undersigned parent or legal guardian, acknowledge that I have read and understand the above Release, Indemnification, and Assumption of Risk Agreement, understand that it affects certain legal rights, and voluntarily agree to its terms on behalf of myself and, to the extent permitted by law, my child.ELECTRONIC SIGNATURE *By checking this box, I acknowledge that typing my name below constitutes my online signature and is as legally binding as such.Please type your name as your signature: *PreviousSubmit
