The Enrichment Co. Founding Fall Pod Registration

The Enrichment Co. Founding Fall Pod Registration

Thank you for your interest in The Enrichment Co.’s Founding Fall Pod! Please complete the registration form below to reserve your student’s place. Enrollment is limited to 10 students.
Family Information
Parent/Guardian Name

First NameLast Name
Parent/Guardian
example@example.com
Parent/Guardian
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student Information
Student Name

First NameLast Name
Grade Level for Fall 2026
Student Age
Student Interest/Information
Tell us a little about your student. What are their interests, strengths, or anything that would help us support them?
How is your student currently educated?
Emergency Information
Emergency Contact Name

First NameLast Name
Relationship to Student
Emergency Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Email
example@example.com
Allergies, Medical Needs, Important Information
Please include any allergies, medical needs, accommodations, or information that would help us support your student safely. If none, type "none"
Learning Considerations or Support Needed
Please note: The Enrichment Co. is a learning center, not a school. Students should be able to complete age-appropriate tasks independently with verbal or written instructions. Please share any learning considerations, strengths, or support needs that will help us support your student.
Attendance & Authorization
Attendance Option

Families are welcome to remain on-site during the Founding Fall Pod. A designated parent area will be available for those who choose to stay while students participate in class. Parents who prefer drop-off may do so with appropriate authorization.
How will your student attend the Founding Fall Pod?
Authorized Pickup Persons
Please list anyone other than a parent/guardian who is authorized to pick up your student. Authorized individuals must present a valid photo ID at pickup.
Dismissal Authorization
Policies & Agreements
Please confirm your understanding of the following
Payment Agreement
Attendance Agreement
Community Expectations Agreement
Photo & Media Release

Photos and videos may be used to share student projects, classroom experiences, and The Enrichment Co. activities. Student names will not be publicly shared without additional permission.
May The Enrichment Co. use photographs or videos of your student for promotional purposes?
Parent Acknowledgment & Liability Waiver
Parent Acknowledgment & Liability Waiver
I have read and understand The Enrichment Co.'s Founding Family Enrollment Packet, including the program policies, payment and refund policy, attendance expectations, student expectations, and emergency procedures.

I understand that The Enrichment Co. is a supplemental enrichment learning center and is not a school or childcare provider.

I voluntarily authorize my child to participate in the Founding Fall Pod.

I understand that participation in classroom activities, collaborative projects, experiments, presentations, and other enrichment experiences involves inherent risks. I release and hold harmless The Enrichment Co., its owner, instructors, volunteers, facility partners, and representatives from liability to the fullest extent permitted by Arizona law, except in cases of gross negligence or intentional misconduct.

I certify that the information provided in this registration is accurate and complete.
Agreement
Parent/Guardian Signature
Date Signed

MonthDayYear
Date
How did you hear about The Enrichment Co.?

Other
Program Fee & Payment

Your student's place will be reserved once registration is complete and the required payment has been received.
Founding Family Pricing

Program Fee: $895

Payment Options:

Pay in Full
- $895 due at registration
Installment Plan
- $100 non-refundable deposit due at registration
- $300 due August 26, 2026
- $300 due September 23, 2026
- $195 due October 21, 2026
Will you be using Arizona ESA funds for any portion of your student's program fees?
Arizona ESA Families

The Enrichment Co. is currently working toward becoming an approved Arizona ESA vendor.

Families may complete registration using an accepted payment method while ESA vendor approval is pending. If approved, eligible expenses may be submitted to Arizona ESA for reimbursement in accordance with current Arizona ESA guidelines and ClassWallet policies.

If you anticipate needing an invoice or additional documentation, please let us know below.
Which best describes your situation?
Anything else you would like us to know regarding your ESA payment?
Registration Confirmation
Payment & Refund Policy Agreement
Please review The Enrichment Co. Founding Fall Pod Payment & Refund Policy before completing registration. This policy outlines payment terms, installment dates, withdrawal deadlines, and refund eligibility.
I have reviewed and agree to The Enrichment Co.'s Founding Fall Pod Payment & Refund Policy, including payment terms, installment dates, and refund guidelines.
Choose Your Registration Option
prevnext( X )
Fall Pod Enrollment- Pay in Full
Includes the $100 non-refundable enrollment deposit. Please review The Enrichment Co. Refund Policy for complete details regarding cancellations and withdrawals.

$895.00 Quantity
Item subtotal:$0.00

Fall Pod Enrollment- $100 Deposit
Non-refundable enrollment deposit required to reserve your student's spot. Remaining balance due according to payment schedule. Please review The Enrichment Co. Payment and Refund Policies for complete details.

$100.00 Quantity
Item subtotal:$0.00

Total

$0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

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The Enrichment Co. Founding Fall Pod Registration

Family Information

Student Information

Emergency Information

Attendance & Authorization

Attendance Option

Policies & Agreements

Photo & Media Release

Parent Acknowledgment & Liability Waiver

Program Fee & Payment

Choose Your Registration Option*

Payment Methods

Choose Your Registration Option