Sungate Workshop Form - SunGate Educational Community

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Participant Information

Participant#1 Name*

Include Nicknames Last

Participant#1 Email address*

A copy of this form will be emailed to this address

Enter Email Confirm Email

Participant#1 Phone Number*

Donation Information

Donation funds breakdown*

SunGate Educational Community is committed to the accessibility of all of its programs. We invite everyone to participate regardless of their financial situation.
That said, there are significant costs that need to be supported for our programs to run. Faculty support, facilities support, and materials are real costs associated with our programs.
In order to assure that these needs are covered, we suggest an average donation of $200 for this course per student. If you are able to give more than average, your contribution will help not only to sustain our programs, but will support other individuals who can give less than the average.
The suggested contribution for childcare offered onsite is an additional $100 for all classes ($9 per hour), and an additional $50 for a sibling ($4.50 per hour). Children must be at least 3 years old.

I would like to donate to support the life of SunGate’s educational programs

I cannot donate right now

Donation Amount*

Enter the amount you can donate for this educational program (+ childcare)

Please enter a number greater than or equal to 1.

Indicate your preferred method*

@SunGateEducationalCommunity is the Venmo account.
The address to send a check is SunGate Educational Community, 1183 Bodine Road, Chester Springs PA 19425

I will send my contribution through Venmo

I will mail my contribution through the mail as a check

Childcare Information

Childcare will be provided on site for all classes. Children should be picked up from childcare promptly at the end of the workshop.

Childcare needs*

Yes, I will need childcare while I’m taking the workshop

No, I will not need childcare

Child #1

Child#1 Name*

Include Nicknames Last

Child#1 Date of Birth*

Month

Day

Year

Does your child have any known allergies?*

Yes

Please explain your child's allergies.*

Does your child use an inhaler, EPI-pen, or other emergency items?*

Yes

Please explain what would cause your child to require those emergency items such as an inhaler or EPI-pen.*

Does your child have any dietary restrictions?*

Yes

Please list your child's dietary restrictions.*

Please provide any additional information you would like us to know.

Do you have a second child needing childcare?*

Yes

Consent*

I agree that

The person completing this form is legally able to make decisions regarding this/these child/ren’s participation in SunGate Kingdom of Childhood Workshop Childcare.

Child #2

Child#2 Name*

Include Nicknames Last

Child#2 Date of Birth*

Month

Day

Year

Does your child have any known allergies?*

Yes

Please explain your child's allergies.*

Does your child use an inhaler, EPI-pen, or other emergency items?*

Yes

Please explain what would cause your child to require those emergency items such as an inhaler or EPI-pen.*

Does your child have any dietary restrictions?*

Yes

Please list your child's dietary restrictions.*

Please provide any additional information you would like us to know.

Do you have a third child needing childcare?*

Yes

Consent*

I agree that

The person completing this form is legally able to make decisions regarding this/these child/ren’s participation in SunGate Kingdom of Childhood Workshop Childcare.

Child #3

Child#3 Name*

Include Nicknames Last

Child#3 Date of Birth*

Month

Day

Year

Does your child have any known allergies?*

Yes

Please explain your child's allergies.*

Does your child use an inhaler, EPI-pen, or other emergency items?*

Yes

Please explain what would cause your child to require those emergency items such as an inhaler or EPI-pen.*

Does your child have any dietary restrictions?*

Yes

Please list your child's dietary restrictions.*

Please provide any additional information you would like us to know.

Do you have a fourth child needing childcare?*

Yes

Consent*

I agree that

The person completing this form is legally able to make decisions regarding this/these child/ren’s participation in SunGate Kingdom of Childhood Workshop Childcare.

Child #4

Child#4 Name*

Include Nicknames Last

Child#4 Date of Birth*

Month

Day

Year

Does your child have any known allergies?*

Yes

Please explain your child's allergies.*

Does your child use an inhaler, EPI-pen, or other emergency items?*

Yes

Please explain what would cause your child to require those emergency items such as an inhaler or EPI-pen.*

Does your child have any dietary restrictions?*

Yes

Please list your child's dietary restrictions.*

Please provide any additional information you would like us to know.

If you have additional children please list their names here and provide the same information as requested for the others.

Consent*

I agree that

The person completing this form is legally able to make decisions regarding this/these child/ren’s participation in SunGate Kingdom of Childhood Workshop Childcare.

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Phone

This field is for validation purposes and should be left unchanged.

SunGate Kingdom of Childhood Workshop Form

Participant Information

Donation Information

Childcare Information

Child #1

Child #2

Child #3

Child #4

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