Confluence Academies
Sneakers With Soul® Order Form
Parent/Guardian
*
First Name
Last Name
Phone Number (cell phone preferred)
Home Address Zip Code (5-digit)
How Many Students Need to be Registered?
Child 1
Student 1 Information
Please enter below.
First Name:
*
Last Name:
*
Gender:
*
F
M
Age:
*
Please Select
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
Select student age from drop-down menu
Is the Student Enrolled in Any One of the Confluence Academies Schools?
*
Yes
No
Grade Attending:
*
Please Select
Pre-K
K
1
2
3
4
5
6
7
8
9
10
11
12
CA School Attending:
*
Please Select
Aspire Academy
Old North
South North
Grand Center Arts Academy
Confluence Preparatory
Select school name from drop-down menu
Shoe Size - Child to Youth:
*
Please Select
8.0K
8.5K
9.0K
9.5K
10.0K
10.5K
11.0K
11.5K
12.0K
12.5K
13.0K
13.5K
1.0
1.5
2.0
2.5
3.0
3.5
4.0
4.5
5.0
5.5
6.0
6.5
7.0
7.5
8.0
8.5
9.0
9.5
10.0
10.5
11.0
11.5
12.0
12.5
13.0
13.5
14.0
14.5
Select the correct size for the child/youth from the above drop-down menu. "K" sizes are for Pre-K and elementary school age children.
Child 2
Student 2 Information
Please enter below.
First Name:
*
Last Name:
*
Gender:
*
F
M
Age:
*
Please Select
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
Select student age from drop-down menu
Is the Student Enrolled in Any One of the Confluence Academies Schools?
*
Yes
No
Grade Attending:
*
Please Select
Pre-K
K
1
2
3
4
5
6
7
8
9
10
11
12
CA School Attending:
*
Please Select
Aspire Academy
Old North
South North
Grand Center Arts Academy
Confluence Preparatory
Select school name from drop-down menu
Shoe Size - Child to Youth:
*
Please Select
8.0K
8.5K
9.0K
9.5K
10.0K
10.5K
11.0K
11.5K
12.0K
12.5K
13.0K
13.5K
1.0
1.5
2.0
2.5
3.0
3.5
4.0
4.5
5.0
5.5
6.0
6.5
7.0
7.5
8.0
8.5
9.0
9.5
10.0
10.5
11.0
11.5
12.0
12.5
13.0
13.5
14.0
14.5
Select the correct size for the child/youth from the above drop-down menu. "K" sizes are for Pre-K and elementary school age children.
Child 3
Student 3 Information
Please enter below.
First Name:
*
Last Name:
*
Gender:
*
F
M
Age:
*
Please Select
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
Select student age from drop-down menu
Is the Student Enrolled in Any One of the Confluence Academies Schools?
*
Yes
No
Grade Attending:
*
Please Select
Pre-K
K
1
2
3
4
5
6
7
8
9
10
11
12
CA School Attending:
*
Please Select
Aspire Academy
Old North
South North
Grand Center Arts Academy
Confluence Preparatory
Select school name from drop-down menu
Shoe Size - Child to Youth:
*
Please Select
8.5K
9.0K
9.5K
10.0K
10.5K
11.0K
11.5K
12.0K
12.5K
13.0K
13.5K
1.0
1.5
2.0
2.5
3.0
3.5
4.0
4.5
5.0
5.5
6.0
6.5
7.0
7.5
8.0
8.5
9.0
9.5
10.0
10.5
11.0
11.5
12.0
12.5
13.0
13.5
14.0
14.5
Select the correct size for the child/youth from the above drop-down menu. "K" sizes are for Pre-K and elementary school age children.
Child 4
Student 4 Information
Please enter below.
First Name:
*
Last Name:
*
Gender:
*
F
M
Age:
*
Please Select
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
Select student age from drop-down menu
Is the Student Enrolled in Any One of the Confluence Academies Schools?
*
Yes
No
Grade Attending:
*
Please Select
Pre-K
K
1
2
3
4
5
6
7
8
9
10
11
12
CA School Attending:
*
Please Select
Aspire Academy
Old North
South North
Grand Center Arts Academy
Confluence Preparatory
Select school name from drop-down menu
Shoe Size - Child to Youth:
*
Please Select
8.5K
9.0K
9.5K
10.0K
10.5K
11.0K
11.5K
12.0K
12.5K
13.0K
13.5K
1.0
1.5
2.0
2.5
3.0
3.5
4.0
4.5
5.0
5.5
6.0
6.5
7.0
7.5
8.0
8.5
9.0
9.5
10.0
10.5
11.0
11.5
12.0
12.5
13.0
13.5
14.0
14.5
Select the correct size for the child/youth from the above drop-down menu. "K" sizes are for Pre-K and elementary school age children.
Child 5
Student 5 Information
Please enter below.
First Name:
*
Last Name:
*
Gender:
*
F
M
Age:
*
Please Select
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
Select student age from drop-down menu
Is the Student Enrolled in Any One of the Confluence Academies Schools?
*
Yes
No
Grade Attending:
*
Please Select
Pre-K
K
1
2
3
4
5
6
7
8
9
10
11
12
CA School Attending:
*
Please Select
Aspire Academy
Old North
South North
Grand Center Arts Academy
Confluence Preparatory
Select school name from drop-down menu
Shoe Size - Child to Youth:
*
Please Select
8.5K
9.0K
9.5K
10.0K
10.5K
11.0K
11.5K
12.0K
12.5K
13.0K
13.5K
1.0
1.5
2.0
2.5
3.0
3.5
4.0
4.5
5.0
5.5
6.0
6.5
7.0
7.5
8.0
8.5
9.0
9.5
10.0
10.5
11.0
11.5
12.0
12.5
13.0
13.5
14.0
14.5
Select the correct size for the child/youth from the above drop-down menu. "K" sizes are for Pre-K and elementary school age children.
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