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Summer 2019 Mighty Minds!
Summer 2019 Mighty Minds serves children completing K through 6th grade! The program is five 90 minute sessions-- during the summer, we run these sessions on five consecutive days (Monday to Friday) in order to best work around families' vacation schedules. Cost for the program is $700 for five sessions, which is a qualified medical expense that is reimbursable through PPO health insurance, FSA, or HSA.

Please note that Mighty Minds groups are formed based on children's age and grade, and requesting to join the Mighty Minds program through this form is not a guarantee of admittance. Mighty Minds staff will review registrations on a rolling basis and reach out to you with confirmation or further information!

Child's full name *
Your answer
Child's gender *
Child's date of birth *
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Child's current grade (completing) *
Your answer
Child's current school *
Your answer
Parent(s)' name(s) *
Your answer
Best email address *
Your answer
Best phone number *
Your answer
Are there any particular areas of challenge, need, or growth for your child that you are hoping to have met by the Mighty Minds program? If so, please describe. *
Your answer
Scheduling options that work for my child/family (please choose all possible options and note that the more flexible you are able to be about scheduling, the more likely we are to find a good fit for your child):
How did you hear about the Mighty Minds program?
Your answer
Thank you! We will reach out to you once we have scheduled the next Mighty Minds session for your child's age group.
Please note that Mighty Minds groups are formed based on children's age/grade and areas of growth, and requesting to join the Mighty Minds program through this form is not a guarantee of admittance. Mighty Minds staff will review registrations on a rolling basis and reach out to you with confirmation or further information! Once we do reach out to you with confirmation, we'll provide you with a link to register for the session. At that time, you can choose to pay either a nonrefundable $100 deposit (with the remaining $600 due at the first group session) or to pay the $700 program fee in full.
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