The Creative Academy Waitlist Application

1
Email* This field is required.
example@example.com
2
Child's Information* This field is required.
First Name
Last Name
3
Child's Nickname* This field is required.
4
Child's Birthday* This field is required.
Date
Month
Day
Year
5
Child's Allergies* This field is required. (if no allergies, enter N/A)
6
Child's Doctor's Name* This field is required.
7
Child's Doctor's Phone* This field is required.
Please enter a valid phone number.
8
Parent/ Guardian #1* This field is required.
First Name
Last Name
9
Relationship to Child* This field is required.
10
Email* This field is required.
example@example.com
11
Phone Number* This field is required.
Please enter a valid phone number.
12
Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
13
Parent/ Guardian #2
First Name
Last Name
14
Relationship to Child
15
Email
example@example.com
16
Phone Number
Please enter a valid phone number.
17
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
18
How'd you hear about us?If a current TCA family referred you, let us know!
19
Class Enrollment Information* This field is required.Families are welcome to enroll in more than one class to have their child attend Monday -Friday. Please select which class you are interest in your child attending:
M/W Mini Creatives Ages 1-2yrs ($300/mth)
T/TH Mini Creatives Ages 1-2yrs ($300/mth)
Fridays Mini Creatives Ages 1-2yrs ($175/mth)
M/W/F Little Creatives Ages 2-3yrs ($400/mth)
M/W Little Creatives Ages 2-3yrs ($300/mth)
T/TH Little Creatives Ages 2-3yrs ($300/mth)
Fridays Little Creatives Ages 2-3yrs ($175/mth)
M/W/F Junior Creatives Ages 3-4yrs ($400/mth)
M/W Junior Creatives Ages 3-4yrs ($300/mth)
T/TH Junior Creatives Ages 3-4yrs ($300/mth)
Fridays Junior Creatives Ages 3-4yrs ($175/mth)
M/W/F Creative Prodigies Ages 4-5yrs ($425/mth)
M/W Creative Prodigies Ages 4-5yrs ($325/mth)
T/TH Creative Prodigies Ages 4-5yrs ($325/mth)
Fridays Creative Prodigies Ages 4-5yrs ($175/mth)
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Desired Start Date for Class:* This field is required.
Date
Year
Month
Day
21
Is your child's sibling also applying?* This field is required.
YESNO
22
If sibling is also applying, please provide the sibling's name
23
Emergency Contact and Release Persons #1* This field is required.
First Name
Last Name
24
Relationship to Child* This field is required.
25
Phone Number* This field is required.
Please enter a valid phone number.
26
Emergency Contact and Release Persons #2* This field is required.
First Name
Last Name
27
Relationship to Child* This field is required.
28
Phone Number* This field is required.
Please enter a valid phone number.
29
What do you call your child?
30
What goals do you have for your child and how can we help to meet them?
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What does your child enjoy doing and playing with the most?
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Please list types and names of any pets:
33
What language is primarily spoken in your home?
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Is there anything we need to know about your family structure that may help us in meeting your child’s needs?
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Do you have any health or development concerns for your child?
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What type of discipline do you use at home?
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Does your child have any allergies, regular medication, or specific health needs? Explain:
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How does your child express anger or react to frustration?
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How does your child react to change (such as leaving parents)?
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Does your child have any particular fears?
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When did your child begin to use language?
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How would you describe your child (personality characteristics)?
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What do you enjoy most about your child?
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Please describe any previous school experiences for your child.
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Is there anything else in your child’s experience you would like to tell us so we can better meet his/her needs?
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We know that The Creative Academy has great families!Please note ways in which you could volunteer in the classroom/program:
Assist with a planned classroom activity (ex. Potting plants, help with a special art project, etc.)
Donate materials (books, used clothing, art materials, curriculum materials, etc.)
Assist with planning or implementation of events e.g. class parties, family functions, or parent meetings
47
Photo/Video Consent & Release Form* This field is required.Students may be highlighted in efforts to promote The Creative Academy's activities and creations. No full names of students are ever to be used on the Internet in conjunction with pictures. This form authorizes the use of children’s faces and voices in electronic media (radio, television, Internet) or print media (newspaper).
I authorize The Creative Academy's use of my child(ren)’s face(s) and voice(s) online (TCA's Facebook, Instagram page, & website), on radio or television (news stories), & in newspapers or any other print media(school concerts or plays, field trips).
I DO NOT authorize The Creative Academy's use of my child(ren)’s face(s) and voice(s) online (TCA's Facebook, Instagram page, & website), on radio or television (news stories), & in newspapers or any other print media(school concerts or plays, field trips).
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Name* This field is required.
First Name
Last Name
49
Which payment plan do you prefer?* This field is required.
Monthly - Tuition is auto drafted from your account on a monthly basis
Singly Pay - Tuition is auto drafted from your account on an annual basis (discounted $150)
50
Tuition Agreement* This field is required.The Creative Academy (“Art Studio”) and the undersigned parents (“Parents”), by entering into this tuition agreement to enroll their child listed below (“Student”) for the current Art Studio year, executed by the parents on the signed date below, agree as follows: 1. Consent: This agreement is entered into with mutual consent of Parents and the Art Studio. 2. Enrollment deposit: The Art Studio requires a $150 non-refundable enrollment deposit (“Deposit”) to reserve a spot for the student in the current Art Studio year. The Deposit is not credited towards payment of tuition or fees. This enrollment deposit reoccurs every year on the student's anniversary date and covers the cost of items that your child will keep, which includes but is not limited to a graduation gift once they age out of classes 3. Tuition and charges: Parents agree to pay the full amount for tuition and fees. The tuition and fees may be modified if Parents receive tuition assistance from the Art Studio. Any such modifications are only effective if set forth in a written amendment of this agreement, signed by Parents and the Art Studio. Tuition is due on or before the 10th of the month prior to the student’s first day of Art Studio. Parents are discounted $150 if they select the single pay option. If Parents select the monthly plan, monthly installments will be paid. The first monthly installment must be paid by the 10th of the month prior to the student’s first day of class. All monthly installments must be paid by the 10th of every month. 4. Late fees: Parents understand and agree that a $10 fee will be assessed for each business day that payment is not current. 5. Additional fees: Parents agree that additional fees for Art Studio services may be charged during the current Art Studio year. Additional fees are due when charged and will be billed and payable through Brightwheel or paid directly to the Art Studio or a third party designated by the Art Studio. 6. Payment obligation: Parents have an individual and joint obligation to pay all tuition and fees under this agreement. Parents’ failure to pay any amount when due pursuant to the terms of this Agreement, may, at the Art Studio’s sole discretion, result in the suspension or dismissal of the Student from the Art Studio. Parents shall pay any costs and attorney’s fees the Art Studio incurs in collection of Parents’ outstanding balance. 7. Early withdrawal/removal: Parents must provide at least thirty (30) days signed WRITTEN NOTICE to the Creative Director to withdraw the Student from the Art Studio during the current Art Studio year. Tuition will be collected during the 30-day notice period. The 30-day notice period begins on the date that written notice is submitted to the Creative Director. Parents must provide 30-days signed written notice prior to the 10th of the month to not be billed for the upcoming month. After the30-day notice period is over, Parents will no longer be responsible for tuition payments pursuant to this Agreement. The link to the Notice to Withdraw form is: https://form.jotform.com/242544472094054 8. Payment agreement: Parents understand and agree that the majority of the Art Studio’s expenses and obligations are incurred on an annual basis, that financial commitments for Art Studio services are made based upon anticipated enrollment, and that the educational operating expenses of Art Studio do not diminish with the departure of some students over the course of the Art Studio year. Parents understand and agree that, regardless of Student’s absence, withdrawal, or dismissal from the Art Studio, Parents remain obligated to pay the amount of tuition set forth in sections 3 and 5 of the Agreement, consistent with the 30-day notice period, as liquidated damages and assume full responsibility for payment. 9. Delayed start: Parents are agreeing to pay tuition for the start date that is outlined on their enrollment application. In the event that parents choose to delay a student's start date, they are still obligated to pay accordingly for the start date selected on their application at the time of enrollment. In the event that a student's start date is delayed due to reasons given by The Creative Academy's staff, parents will only be obligated to pay tuition that reflects the new start date given by the TCA team.
By entering your digital signature, you confirm that you have read and agree to the document above.
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Immunization RecordsDo you have a copy of your child's most current immunization records? If yes, please upload to the file link. If no, please email a copy of your most current records to hello@creativeacademykids.com at your earliest convenience
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
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Let's submit your Waitlist Application!Once your application is submitted, a member of our enrollment team will reach out to confirm that your application was received. Thank you for completing your waitlist application and we look forward to learning more about you and your family!
By entering your digital signature, you confirm that you have read and agree to the document above.
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