Asiatic Minds Online School Registration

Summer Enrichment Workshop

Fill out the form carefully for each attending student.
EACH PARTICIPANT MUST HAVE THEIR OWN COMPUTER WITH A WORKING CAMERA AND MICROPHONE!
- Student Name
  
  First NameLast Name
- Gender
- 2025/26 School Year Grade
- Which workshop are you enrolling in?
- Siblings in Asiatic Minds
  
  First NameGrade
- Grade
- Siblings in Asiatic Minds
  
  First NameLast Name
- Grade
- Siblings in Asiatic Minds
  
  First NameLast Name
- Grade
- Guardian #1
  
  PrefixFirst NameLast Name
- Email
  example@example.com
- Guardian #2
  
  PrefixFirst NameLast Name
- Email
  example@example.com
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Mosques/Study Group
- Person responsible for tuition
  
  First NameLast Name
- Email
  example@example.com
- Asiatic Minds School Schedule
- I blanks* as the parent/legal guardian of blank* hereby agree to the terms of this parent contract and will create an atmosphere in my home that will support my child's continued growth.
  
  •     Understand that greater parent involvement equals great student achievement
  •     Serve as a role model by upholding all school rules and regulations
  •     Provide support and encouragement of my child's efforts
  •     Pay my tuition and additional school fees at the agreed-upon time
  •     Send my child to school every day well-nourished and rested
  •     Make sure that my child is clean and dressed appropriate for school daily
  •     Provide an environment that is conducive to uninterrupted study time
  •     Work with the staff to ensure that my child is successful and support the teacher's efforts in the classroom by modeling a positive attitude towards the school and education in general
  •     Attend all parent-teacher conferences, and meetings or send an adult representative when I am unable to attend
  •     Participate in the Academy's annual fundraiser
  •     Register my child for school in a timely manner, paying all necessary fees and providing all required documents for enrollment (application of admissions form, parent contract, media release form
  •     Post an analog clock in your child's bedroom, so they can learn to manage their time as well as practice their time-telling skills (recommendation)
  •     Purchase art supplies (easel, construction paper, lined paper, pencils, color pencils, crayons, markers, paint, etc) to encourage creativity (recommendation)
- Student's name
  
  First NameLast Name
- Printed name of Parent/Guardian
- Signature of Parent/Guardian
- Date
  
  MonthDayYear
  Date
- I acknowledge that any photographs, videos, or audio recordings taken of my child during enrollment at AMELA could possibly be used for advertising and/or fundraising. I understand and fully acknowledge that by enrolling my child in Asiatic Minds Early Learning Academy, I assume full responsibility for my child's behavior. I further declare that my child is physically able to participate in all activities as described in the curriculum.
  
  I understand that this consent is perpetual; that I may not revoke it, and that it is binding on my heirs and assigns.
  
  By signing below I acknowledge and voluntarily agree to the terms of Asiatic Minds Early Learning Academy Waiver and Release of Liability Agreement.
  
  I warrant that I am the parent or legal guardian and that I am competent in my own name insofar as this consent is concerned. I further attest that I have read this consent form and fully understand its contents.
- Student's Name
  
  First NameLast Name
- Printed name of Parent/Guardian
  
  First NameLast Name
- Signature of Parent /Guardian
- Date
  
  MonthDayYear
  Date
- Should be Empty:

Summer Enrichment Workshop

EACH PARTICIPANT MUST HAVE THEIR OWN COMPUTER WITH A WORKING CAMERA AND MICROPHONE!