The Refinement Academy at Sarah’s Southern Tea Room
Welcome! Thank you for your interest in our Refinement Academy for middle & high-school students. This 4-session experience is designed to help students develop confidence, communication skills, social etiquette, leadership presence, and personal refinement in a warm, encouraging environment.
Parent/Guardian Information
Parent/Guardian Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred Method of Contact
*
Phone
Text
Email
Student Information
Student Full Name
*
First Name
Last Name
Student Age
*
Student Grade Level
*
Please Select
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
School Name
Does your child have any food allergies or medical concerns we should know about?
What do you hope your child gains from this experience?
Enrollment Details
Number of Children Being Enrolled
*
Please Select
1
2
3
4+
Would you like information about sponsoring another child?
*
Yes
No
If someone sponsored your child, would this program help your family?
*
Yes
No
Prefer not to answer
Submit
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