2024-2025 Application
If you are enrolling multiple children, please submit this form for each child
Student's School 2024-2025 *
Has your child previously been enrolled in our Summer Camp or Afterschool in Nature programs? *
- Yes
- No
Does your child have an illness, allergy, health problem, or disability? *
- Yes
- No
Does your child have social, emotional, or behavioral challenges? *
- Yes
- No
Will your child be attending Afterschool in Nature Monday through Friday? *
- Yes
- No
- Not sure
Family Contribution *
Tuition for the Afterschool in Nature program is determined on a sliding scale. * All families are welcome, regardless of financial ability *
☼ Tier 1 (household income over $100,000 annually) - $25 per day
☼ Tier 2 (household income <$100,000 but not eligible for F/R lunch) $20 per day
☼ Tier 3 (receiving F/R lunch) $15 per day
☼ Other (regardless of income tier, applying for a scholarship)
Please respond based on your family's true need; include any additional circumstances you would like us to know for consideration in our scholarship program. See https://tinyurl.com/VTFreeLunch for income eligibility.
- Tier One
- Tier Two
- Tier Three
- Other
Other circumstances to consider (please describe)
- {name}
Is your family registered with CCFAP to receive childcare benefits? *
See https://dcf.vermont.gov/benefits/ccfap to learn more and apply if eligible.
- Yes
- No
- Not Sure
Will your child need transportation from school to our Afterschool program? *
Transportation is available to students of Barre City, Barre Town, and Echo Valley Schools. Transportation fees are in addition to weekly tuition. Tier One transportation from school is $4 per day, Tiers Two and Three transportation from school is $2.50 per day. Scholarships are available.
- Yes
- No
Will your child need transportation from Afterschool to home? *
Transportation is available to residents of Barre City, Barre Town, and Orange. Transportation fees are in addition to weekly tuition and are calculated based on mileage from our facility. Scholarships are available. Please inquire for other communities within a ten mile radius of Sage Mountain. Tier One transportation home is $0.685 per mile, Tier Two is $0.525 per mile and Tier Three is $0.40 per mile.
- Yes
- No
- Not Sure
If you would like to share any other information about your child and how we can best support their summer camp experience, please use the space below.
- {name}
Approved?
Registration
Add
Registration Reminder
Student Opted Out
Registration 2
Add
Do not submit passwords through this form. Report malicious form