CLICK HERE TO APPLY ONLINE IN SPANISH

TeenNat Application – English

Applicant Information
Give us the best way to reach you, the applicant! You can save your progress to finish the application later, using the link at the bottom of this page.
Name*
First Last
Date of Birth*
Gender*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone*
Email*
Name of school and grade level entering this fall*
What is your primary language (and secondary if applicable)?*
How did you hear about this program?*
This is a five-week program, are you available to commit to attending all five weeks?*
If not, please explain.
Additional information (allergies, medical issues, special needs, etc.)
Parent or Guardian
Give us the best way to reach your parent or guardian.
Parent/Guardian Name(s)*
Parent/Guardian Phone*
Parent/Guardian Email*
Parent/Guardian Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Receive Pepperwood Communications
- Sign me up
Check the box if you would like to receive information about upcoming classes and events at Pepperwood.
Applicant Questions
Please answer the following questions.
1. What do you hope to gain from participating in TeenNat?*
2. What strengths do you have that will help you and other participants have a successful experience in this program?*
3. Describe a great day outdoors that you have had or would like to have.*
4. What is something we should know about you that you haven’t told us yet?*
Thank you!
For more information or for questions about using this form, contact us at (707) 591-9310 x122 or teennat@pepperwoodpreserve.org.

Save and Continue Later

TeenNat – Apply Online

CLICK HERE TO APPLY ONLINE IN SPANISH

TeenNat Application – English

Applicant Information

Parent or Guardian

Applicant Questions

Thank you!