STREAM Saturdays: Child Registration Form
Please complete the form below to secure your child's spot for STREAM Saturdays. All fields are required to ensure your child's safety and participation. Registration is available for students ages 5-10.
Parent Information
Please provide the contact details of the parent or legal guardian responsible for the child’s registration and communication.
Parent 1 Full Name
*
First Name
Last Name
Parent 1 Email Address:
*
example@example.com
Parent's Contact Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent 2 Full Name
First Name
Last Name
Parent 2 Email Address:
example@example.com
Parent's Contact Number
Please enter a valid phone number.
Format: (000) 000-0000.
Cild Information
Tell us more about your child to help us prepare age-appropriate and engaging STREAM activities.
Name
*
First Name
Last Name
Child's Age
*
Current Grade Level
*
Please Select
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Current School
*
Does your child have any medical conditions or allergies we should be aware of?
Emergency Contact Information
In case of an emergency, we will reach out to the contact listed below if the parent/guardian cannot be reached.
Emergency Contact Name (other than parent/guardian)
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address:
example@example.com
Consent to Participate
I, the parent/guardian of the child named above, give permission for my child to participate in STREAM Saturdays hosted by The Light Preparatory Academy, in partnership with FIU and the City of Miami Gardens. I understand that this includes project-based activities and arts engagement under adult supervision.
Signature
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