K and Up Enrichment Sessions
Sew-Cial Emotional: Please select schedule
Fall Session: $350 Tuesdays 9/15-10/27 3:30-5PM
Nature Classroom: Please select schedule
Fall Session: 9/14-10/29 3:30-5:30PM $200 per week
9/14-9/17
9/21-9/24
9/28-10/1
10/5-10/8
10/13-10/15
10/19-10/22
10/26-10/29
Please include drop in dates:
Please include drop in dates:
Science Exploration: Please select schedule
Fall Session: 7 Weeks: $350 Wednesdays 9/16-10/28 3:30-5PM
Student Name
*
First Name
Age/Grade
Last Name
Parent E-mail
*
example@example.com
Parent Mobile Number
*
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please list student allergies/medical conditions and an emergency contact if parent cannot be reached
*
PHOTO RELEASE: I hereby authorize SMART START LLC to publish photographs & videos taken of my child(ren)for use in print, online, social media and for any other company publications.I hereby release and hold harmless SMART START LLC from any reasonable expectation of privacy or confidentiality associated with any taken images specified above.I further acknowledge that my participation is voluntary and that I will not receive compensation of any type associated with the taking or publication of these photographs, videos or company publications. I hereby release SMART START LLC and its employees and other parties involved from liability for any claims by me or any other party connected to my participation.
*
YES
NO
Classroom Pet Waiver: SMART START is a very nature friendly learning environment. We have multiple pets in our indoor and outdoor classrooms and our school will be fostering/adopting animals periodically. Classroom Pet examples: chickens, bunnies, guinea pigs, cats, fish, frogs, turtles etc. Please check off below if you would like your child(ren) to participate with the hands-on care and nurturing of our classroom pets:
*
YES
NO
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
Should be Empty: