TimberNook Registration Form

Thank you for registering for a TimberNook program! The form below is mandatory for each child participating in a TimberNook program. If you are new to TimberNook, please go ahead and fill one form out for each child participating. If you have already filled out a form for a previous session, there's no need to submit a new one UNLESS something has changed.

* Required

 Please confirm that you have the correct location selected above to insure your registration is processed.

Yes - please list below

Heart Problems
Breathing Problems
Physical or Developmental Challenges
Medical Conditions or Issues
Sensory processing Disorder
None of the Above




I give my consent
I DO NOT give my consent

I give my permission
I DO NOT give my permission

I give permission for my child's photo to be taken
I DO NOT give permission for my child's photo to be taken

I agree
I DO NOT agree

My typed full name here is to serve as my legally binding electronic signature on this form and my agreement with TimberNook policies, the liability waiver and consent statements above.