2024-2025 Spanish Registration

Welcome and thank you for your interest in Spanish class!

Price: $100 per month (4 weeks)

1. Please fill out one form entirely per student.

2. Email with enrollment or waitlist info will be sent within 2-3 weekdays; please add info@enlightenedminds.net to your safe sender list.

*A one-time $25 new student enrollment fee will be required to secure each new student's spot. This fee is not covered by charter funds. Payment info will be sent by email.

*Fee waived for current Enlightened Minds students.

FEE WAIVED FOR THE REMAINDER OF THE SEMESTER

Thank you!
Registration Application

Class Selection & Financial Responsibility
Class Options*

Spanish: Beginning (1st-6th) MONDAYS 10:00am-11:15am
Financial Responsibility*

Yosemite Valley CharterMonarch River AcademyPrivate Pay

Student Information
Student Name*

First NameMiddle NameLast Name
Birthday*

MonthDayYear
Date
Current Age *
Gender*

MaleFemale
Grade level for 24/25 school year*
Please share anything you feel necessary regarding the student's academic or social abilities below. (Optional)

Guardian Information
Primary Parent/Guardian *

First NameLast Name
E-mail*
example@example.com
Mobile Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Emergency Contact
Please add an emergency contact, in addition to the parent/guardian(s) listed above.
Emergency Contact *

First NameLast Name
Emergency Contact Phone*
Please enter a valid phone number.
Relationship To Student*

Medical Release & Health Information
Medical Release

I, {primaryParentguardian}, the parent or legal guardian of {studentName}, give permission to Enlightened Minds for any and all medical attention to be administered to my child in the event of an emergency, when the need for treatment is clear, and when all efforts have been made to contact me. By signing below I also assume the financial responsibility of payment for any and all expenses incurred for treatment.
Signature*

Clear
Please list any health condition(s) below. If your child needs to take any medication during their time at Enlightened Minds, please explain below. Write N/A if no health condition(s) or medication(s).*
Please list any food allergies below. Please explain the severity, for example, cannot consume, cannot be around, severely allergic, etc. Write N/A if no allergies.*
On occasion, Enlightened Minds will have foods considered treats that are part of a project or for a special occasion. Please list any restrictions your child has. For example, my child can only have one treat, my child cannot have artificial food dye, etc. If no restrictions, write "None".*

Waiver of Liability & Media Release
Waiver of Liabiity

I, {primaryParentguardian}, parent or legal guardian of {studentName} give my full permission for my child to participate in classes and activities at Enlightened Minds. In allowing my child to participate in classes and activities at Enlightened Minds, I fully and completely release, discharge, and hold harmless Enlightened Minds, and its directors, trustees, officers, employees, agents, insurers, instructors, and volunteers (collectively "its agents and employees) from any and all claims, actions, causes of action, and damages of any kind whatsoever, including but not limited to claims for personal injury, death, or property damage, arising out of my child's participation in classes and activities at Enlightened Minds.

I acknowledge and recognize there are inherent risks involved in such activities and I assume the risk of any injury sustained while at Enlightened Minds. I agree to indemnify, defend and hold harmless Enlightened Minds and its agents and employees from any and all claims arising out of my child's participation in any class or activity at Enlightened Minds, even if such claim arises as a result of a negligent act or omission of Enlightened Minds or its agents and employees.
Signature*

Clear
Media Authorization and Release

Enlightened Minds requests permission to photograph and/or record your child while participating in classes and/or activities and for the resulting images and/or recordings to be used for training and marketing purposes.

By signing below you herby waive any right to inspect or approve the finished photographs and/or recordings that may be used for such purposes, understand and agree that the use of such images and/or recordings will be without compensation, and that Enlightened Minds will have exclusive rights to the images and/or recordings.

By signing below I agree to the above terms.
Signature*

Clear

Acknowledgement of Responsibilities
Parent Responsibilities
Monthly Enrollment: I understand Enlightened Minds offers monthly and session classes, and if I decide that I will no longer enroll my child for the following month/session, I will extend the courtesy of giving Enlightened Minds a 30-day notice, so that our spot in the class can be made available to another student.

Communication: The primary means of communication will be through email and text message newletters. If I have any questions about the program or activities I will reach out via email to info@enlightenedminds.net or by phone or text (559) 569-1375.

Drop off/Pick up: I will arrive on time and pick up on time. I will notify Enlightened Minds if my child will be absent, late, or if I will need to request an early pick-up.

Water, Snacks, and Lunch: If my student will be on campus longer than a 2 hour period, I will send my child with a water and snacks/lunch. I will make sure to communicate any allergies or sensitivities which may affect my student or the class.

Holidays/Emergency/Class Cancellations: I am aware that some of the class days may fall on a holiday and that some class days may close due to holidays. In the event of closure due to emergency or other unforeseen circumstances, I am aware that make-up days may not be made available to my child.

Behavior & Conduct: I will do my best, within my abilities as the parent/guardian, to encourage my student to be prepared for class and ready to participate with a positive attitude. I will instruct my child to show respect for Enlightened Minds instructors and other students. I will share with them the expectation that they follow the rules, which includes instructing them to remain with their group and not wander off into other areas. I understand that if there are ongoing behavioral issues or other concerns regarding my child's participation and/or behavior in the class, Enlightened Minds may come to the conclusion that the program is not a good fit for my child, and that they may be dismissed from further instruction.
Financial Responsibilities
Class Fee: I understand that I am responsible for my child's class fee, which must be received before the first class and that they may not be allowed to attend class if the payment has not been received and/or confirmed.

Charter School Students: I understand that it is my responsibility to submit the order for services in a timely manner. This usually requires that I submit the order 2 weeks prior to the start of class, in order for Enlightened Minds to receive my approved certificate before class begins. If Enlightened Minds does not receive my approved certificate before class, I understand that my student will not be allowed to attend class and after 3 missed classes due to non-payment, my child's spot will be made available to someone on the waitlist.

I also understand that it is my responsibility to be informed of my charter school's specific guidelines regarding vendor service certificates. I understand that if I request services from my charter for use at Enlightened Minds, and I do not utilize the services, that my charter school may not issue me a refund for unused services, and that it is not the financial responsibility of Enlightened Minds to reimburse me for unused services.

Property Damage: I understand that if my child is found to be responsible for any damage to the property where classes are held, I may be financially responsible for the damages.

Refunds: I understand that there are no refunds issued for missed or unused days, including but not limited to my child being ill or absent. If there are closures due to unforseen events, I understand that we may not have the option for a make-up day.

If I have any questions about these policies I will reach out via email to info@enlightenedminds.net.

By signing below I understand and agree to the above terms.
Parent/Guardian's Name*

First NameLast Name
Parent/Guardian's Signature*

Clear
Date*

MonthDayYear
Date
Additional Comments
Should be Empty:

Registration Application

Parent Responsibilities

Financial Responsibilities