Waitlist 2024-2025
Student Information
Student Name
*
First Name
Last Name
Student Birthday
*
-
Month
-
Day
Year
Date
Grade Level for 2024-2025 Academic Year
*
Please Select
TK
K
1
2
3
4
5
6
7
8
Are you a current Creative Steam Family?
*
Please Select
Yes
No
Name of school or learning center student attend prior to Creative Steam?
*
Does student have any food allergies? If yes, please list below.
*
Does you student have an IEP or 504 Plan?
*
No
Yes
If yes, what is your students IEP or 504 Plan?
Parent Information
Mother Name
*
First Name
Last Name
Mother Email
*
example@example.com
Mother Phone Number
*
Please enter a valid phone number.
Father Name
*
First Name
Last Name
Father Email
*
example@example.com
Father Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Will you be using Charter Funds? Please note not all of our classes accept charter funds.
*
Yes
No
If you are using Charter Funds, which charter school are you with?
*
Paying out of pocket
Cabrillo Point
Excel
iLead
Sage Oaks
Scale
Suncoast Prep
Sky Mountain
How did you hear about Creative STEAM?
*
Friend
Facebook
Google
Yelp
Charter School
Other
Who should we thank for the referral?
*
Select Program
*
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Waitlist Deposit
Families who put down a deposit will have first priority for open spots or if new sections are added. If we cannot provide your student a spot this school year your deposit will be refunded.
$
300.00
Quantity
1
TK/K Stream Enrollment
$
Free
Active Stream (TK/K Mondays)
Active Stream (TK/K Thursdays)
Active Beginners (TK/K 3 days/week T ,TH, F)
Active and Active Beginner (4 days/week)
Active Beginners (TK/K 2 days/week T/F)
ELM Steam Erollment
$
Free
Beginners ELM (K/1 Grade)
Creative ELM (2nd Grade)
Dreamers ELM (3rd/4th Grade)
Explorers ELM (5th grade)
Futurists ELM (6th Grade)
Giants ELM (7th/8th Grade)
Science Stream Enrollment
$
Free
Beginner Scientists (K/1 Grade)
Creative Scientists (2nd Grade)
Dreamer Scientists (3rd/4th Grade)
Explorer Scientists (5th Grade)
Future Scientists (6th Grade)
Giants Scientists (7/8th Grade)
History Stream Enrollment
$
Free
Beginner Historians (K/1 Grade)
Creative Historians (2nd Grade Grade)
Dreamer Historians (3rd-4th Grade)
Explorer Historians (5th Grade)
Future Historians (6th Grade)
Giants Historians (7-8th Grade)
Application Processing Fee
$
15.00
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Terms and Conditions
Please read and check below Terms.
I understand that this form is for waitlist only and not class registration. I acknowledge that completing this form does not secure my student's enrollment in the Creative Steam Program for the 2024-2025 school year. If I decline a spot after securing it, my deposit will be forfeited. I can request a refund if no spot becomes available and we decide to pursue other options. I also understand that my deposit will be applied towards the registration fee once accepted.
*
I understand and Agree to the terms
Signature
*
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