Summer Enrichment Registration

Summer Enrichment Registration

Classes for Rising K-2nd grade are held from 9am-11am. Classes for Rising 3rd-6th grade are held from 1pm-3pm.
1. Attendee #1 (Full Name)

First NameLast Name
Registration Type
Gender
Relationship to you
Grade Level
2. Attendee #2 (Full Name)

First NameLast Name
Registration Type
Gender
Relationship to you
Grade Level
3. Attendee #3 (Full Name)

First NameLast Name
Registration Type
Gender
Relationship to you
Grade Level
4. Attendee #4 (Full Name)

First NameLast Name
Registration Type
Gender
Relationship to you
Grade Level
5. Attendee #5 (Full Name)

First NameLast Name
Registration Type
Gender
Relationship to you
Grade Level
Comments:
Parent Full Name*

First NameLast Name
E-mail*
Phone*

Area CodePhone Number
Class Registration Cost

$150 per class payable at time of registration ($30 of that cost is non-refundable)
I, First Name Last Name , the parent or legal guardian of blanks grant do not grant Thrive Educational Services, LLC my permission to use photographs for any legal use including, but not limited to: publicity, copyright purposes, advertising, and web content. Signature