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Spring Waitlist Form
Parent/Guardian 1 Information
Name
(Required)
First
Last
Mobile Number
(Required)
Email
(Required)
Enter Email
Confirm Email
Parent/Guardian 1
Relationship with Student
(Required)
Student Information
Student's Name
(Required)
First
Last
Does your student go by a different first name?
(Required)
Yes
No
Student's Preferred First Name
(Required)
First
Student's Gender
(Required)
Female
Male
Prefer not to say
Other
Student's Date of Birth
(Required)
Month
Day
Year
Your student must be at least 6 years old on the first day of the semester.
Program
Select your preferred program days:
(Required)
WAITLIST: Explorers Monday
WAITLIST: Explorers Tuesday
WAITLIST: Explorers Wednesday
WAITLIST: Explorers Thursday
WAITLIST: Adventurers Tuesday
WAITLIST: Adventurers Wednesday
WAITLIST: Adventurers Thursday
Please check all that apply if you are enrolling for two days per week.