Elemental Quest Application

Please complete the Elemental Quest Application and then submit

Student Name

First Name

Last Name

Student Birthdate

YYYY

School

Parent Name(s)

Family Status

Will you need financial assistance for this program?

We have a separate application for scholarships. If yes please find it under the "About Vilda" menu when you done with this application.

Age(s) of other children (if applicable)

Why are you interested in Elemental Quest for your son?

What do you hope he will get out of this yearlong+ mentorship?

What do you see as his gifts? Strengths?

What are his greatest challenges?

How would you describe his social relationships (at school or other group settings)?

What is your relationship to ceremony? As a parent and as a family?

Any medical circumstances we should know about? (Medical waiver to come later)

Anything else you want us to know?

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