Fall 2026 Cohort Program Enrollment Form

Fall 2026 Cohort Program Enrollment Form

Applications open May 1, 2026. A nonrefundable deposit of 25% of the total program cost is required at the time of registration to reserve a student’s placement in the cohort. Enrollment is not considered confirmed until the deposit has been received. The remaining balance must be paid in full no later than fourteen (14) calendar days prior to the first scheduled session. Families may withdraw from the program at any time by providing written notice to PPEA. Refund eligibility: Within the first 7 days (Week 1): A 50% refund of the total tuition paid will be issued. Beginning Day 8 (Week 2 and beyond), no refunds will be issued. The initial 25% deposit remains nonrefundable under all circumstances. For questions, contact ParamountProConsulting@gmail.com
Which program session are you enrolling in?

On a scale of 1-5, rate your child’s:

Parent/Guardian 1 Full Name

First NameLast Name
Primary Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Parent/Guardian 1 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian 1 Email Address
example@example.com
Parent/Guardian 2 Full Name

First NameLast Name
Parent/Guardian 2 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian 2 Email Address
example@example.com
Emergency Contact 1 Name (any additional person who is authorized for pick up)

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact 2 Name (any additional person who is authorized for pick up)

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact 3 Name (any additional person who is authorized for pick up)

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

Please list any allergies, medical conditions, or special needs we should be aware of. Note “N/A” if none.
Assumption of Risk and Release of Liability
Media Release
Field Trip Consent
Does your child have an IEP or 504 plan? Are any special accommodations needed?

Policy Agreements (Submission of this form constitutes a binding agreement to payment terms.)
Signature:
Date

MonthDayYear
Date
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Dolls & Dons (ages 8-11) Deposit
The cohort details: Saturdays from October 3rd- December 5th from 10:00a- 12:00p at the Grand River Workplace (19120 Grand River Ave., Detroit, MI 48223).

$200.00 Quantity



Poised & Polished (ages 12-14) Deposit
The cohort details: Poised & Polished (ages 12-14)- Saturdays from October 3rd- December 5th from 1:30p- 3:30p at Terri’s Detroit (16311 E. Warren Ave. Detroit, MI 48224).

$200.00 Quantity



Upper Echelon (ages 15-18) Deposit
The cohort details: Sundays from October 4th- November 22nd from 2:30p- 4:30p at the Grand River Workplace (19120 Grand River Ave., Detroit, MI 48223).

$200.00 Quantity



Total

$0.00
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