FAITH AND FOUNDATIONS EDUCATION LLC
Student Enrollment Form
Welcome to Faith and Foundations Education LLC! Please complete this enrollment form so we can learn more about your family, your child, and the educational opportunities that best fit your needs.
1. Parent/Guardian Information
Parent/Guardian Full Name:
First Name
Last Name
Email Address:
example@example.com
Phone Number:
Format: (000) 000-0000.
Home Address:
2. Student Information
Child's Full Name:
First Name
Last Name
Preferred Name:
First Name
Last Name
Date of Birth:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Age:
Current Grade:
3. Educational Information
What type of education does your child currently receive?
Homeschool
Private School
Public School
Other
What are your child's academic strengths, interests, or favorite subjects?
Are there any academic areas where you would like additional support?
What are your goals for your child's participation with Faith and Foundations Education LLC?
4. Learning & Support Information
Does your child have any learning needs, accommodations, or other information you would like the instructor to know?
No
Yes
If yes, please explain:
What helps your child learn best?
5. Programs & Services
What are you interested in? Select all that apply.
Small-Group Enrichment Classes
Bible-Based Classes
Tutoring
Portfolio Evaluation
Academic Support
Back
Next
Other:
Other
Which classes or subjects are you interested in?
6. Scheduling
Preferred days/times or scheduling needs:
7. Emergency Contact
Emergency Contact Name:
First Name
Last Name
Relationship to Child:
Emergency Contact Phone:
Format: (000) 000-0000.
8. Authorized Pickup
Please list anyone other than the parent/guardian who is authorized to pick up your child.
1.
Relationship:
2.
Relationship:
3.
Relationship:
9. How Did You Hear About Us?
How Did You Hear About Us?
Facebook/Social Media
Friend/Family
Homeschool Community
Church/Community
Other
10. Parent/Guardian Enrollment Acknowledgment
I certify that the information provided on this enrollment form is accurate and complete. I understand that enrollment in a class or service is subject to availability and the specific policies of that program. I agree to provide updated information if circumstances change.
11. Signature
Parent/Guardian Signature:
Printed Name:
First Name
Last Name
Date:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Faith and Foundations Education LLC
Growing minds. Building character. Strengthening foundations.
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