Trial Class

Trial Classes
Student Information
Student Name*

First NameLast Name
Student Birthday*

MonthDayYear
Date
Grade Level for 2024-2025 Academic Year*
Are you a current enrolled in Creative Steam Core Program?*
Does student have any food allergies? If yes, please list below.*
Parent Information
Mother Name*

First NameLast Name
Mother Email*
example@example.com
Mother Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Father Name*

First NameLast Name
Father Email*
example@example.com
Father Phone Number*
Please enter a valid phone number.
Will you be using Charter Funds? Please note not all of our classes accept charter funds.*

YesNo
If you are using Charter Funds, which charter school are you with?*

Paying out of pocketCabrillo PointExceliLeadSage OaksScaleSuncoast PrepSky Mountain
How did you hear about Creative STEAM?*

FriendFacebookGoogleYelpCharter SchoolOther
Who should we thank for the referral?*

Select Program*

Try a Core Class

$20.00 Select a Class to Try

Enter coupon

Subtotal

$0.00

Tax

$0.00

Shipping

$0.00

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Terms and Conditions

Please read and check below Terms.
Children must know how to use the potty to be in the program. I understand and accept that this is an academically-focused program, and my student will be expected to sit, listen, follow instructions, and not disrupt the other students. If my student a disruption to the class, we will be asked to leave the program without refund.*

I understand and Agree to the terms
I acknowledge and agree that Creative Stem is not a specialized school for students with special needs and may not have the necessary resources to accommodate these students. Therefore, if your child has special needs, it is imperative that you communicate and provide all information regarding their Individualized Education Plans (IEP), 504 plans, or any other special needs to admissions before enrolling them into our program. This will enable us to better understand and support your child's unique requirements. I also agree to complete a shadow day and obtain approval to enroll from Creative Stem before enrolling my child, ensuring that they are a good fit for the program and that Creative Stem can meet their needs effectively. If I fail to disclose my child's special needs and it turns out that the program is not a suitable fit, I acknowledge that my deposit is non-refundable. This agreement will help us work together to ensure the best experience for your child and our entire school community.*

I understand and Agree to the terms
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Trial Classes

Student Information

Parent Information

Terms and Conditions